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MoonDragon's ObGyn Information
PREGNANCY & DIABETES MELLITUS
PRE-GESTATIONAL & GESTATIONAL




BASIC INFORMATION


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.


DESCRIPTION

There are two basic types of diabetes: diabetes insipidus and diabetes mellitus.

Diabetes Insipidus is a rare metabolic disorder caused either by a deficiency of the pituitary hormone vasopressin or by the inability of the kidneys to respond properly to this hormone. Failure to produce adequate amounts of vasopressin is usually the result of damage to the pituitary gland. Diabetes insipidus is characterized by extreme thirst and by the production of enormous amounts of urine, regardless of how much liquid is consumed.

pancreas anatomy
The pancreas is located behind the liver and is where the hormone insulin is produced. Insulin is used by the body to store and utilize glucose.


Diabetes Mellitus is a chronic disease of carbohydrate metabolism characterized either by the body's inability to produce enough insulin or the production of ineffective insulin in the pancreas to process carbohydrates, fat and protein efficiently. All body cells need insulin to convert food into chemicals the body can use. Without insulin, the body cannot utilize glucose (blood sugar), its principle energy source. As a result, the level of glucose absorbed by the body tissues is low. Perhaps more than most diseases, diabetes mellitus is associated with diet. It increases over time the risk of kidney disease, atherosclerosis, blindness, and neuropathy (loss of nerve function). It also creates a predisposition to infections such as candidiasis (yeast) and can complicate pregnancy. Although genetics may make a person susceptible to diabetes, a diet high in refined, processed foods and low in fiber and complex carbohydrates is believed to be behind most cases of the disease. Those who are overweight face the greatest risk of developing diabetes.

endocrine glands
Endocrine glands release hormones (chemical messengers) into the bloodstream to be transported to various organs and tissues throughout the body. For instance, the pancreas secretes insulin, which allows the body to regulate levels of sugar in the blood. The thyroid gets instructions from the pituitary to secrete hormones which determine the pace of chemical activity in the body (the more hormone in the bloodstream, the faster the chemical activity; the less hormone, the slower the activity).


Diabetes mellitus is generally divided into two categories: Type I (Type 1), called insulin-dependent or juvenile diabetes, and Type II (Type 2), or non-insulin-dependent diabetes and usually occurs in adulthood and is linked to a poor diet.

Gestational diabetes is a temporary type of diabetes that develops when a pregnant woman is not able to make enough of a hormone called insulin. Without enough insulin, her body is not able to properly use and store sugar from foods she eats. This causes extra sugar (glucose) to build up in her blood.

With treatment, most women who have gestational diabetes are able to control their blood sugar and give birth to healthy babies. If a woman's blood sugar level cannot be controlled, gestational diabetes can cause problems, such as a baby that grows too large or a baby who is born with low blood sugar.

Gestational diabetes generally goes away after the baby is born. However, women who have gestational diabetes are more likely than other women to develop type 2 diabetes, a permanent type of diabetes.





FREQUENT SIGNS & SYMPTOMS

Type I Diabetes:
  • Irritability.

  • Frequent urination.

  • Abnormal thirst.

  • Nausea or vomiting.

  • Weakness.

  • Fatigue.

  • Weight loss despite unusual hunger.

  • In children, frequent bed wetting - especially by a child who did not previously wet the bed.

  • Episodes in which blood glucose levels are very high (hyperglycemia) and very low (hypoglycemia). Either of these can lead to a serious medical emergency.

food insulin release
Insulin is a hormone secreted by the pancreas in response to increased glucose levels in the blood.


insulin production
Insulin is a hormone produced by the pancreas that is necessary for cells to be able to use blood sugar.


Episodes of hypoglycemia, which strike suddenly, can be caused by a missed meal, too much exercise, or a reaction to too much insulin. The initial signs of hypoglycemia are hunger, dizziness, sweating, confusion, palpitations, and numbness or tingling of the lips. If not treated, the individual may go on to experience double vision, trembling, and disorientation; may act strangely; and may eventually lapse into a coma.

In contrast, a hyperglycemic episode can come on over a period of several hours or even days. The risk for hyperglycemia is greatest during illness, when insulin requirements rise; blood-sugar can creep up, ultimately resulting in coma, a reaction also known as diabetic ketoacidosis. One of the warning signs of developing hyperglycemia is the inability to keep down fluids. Possible long-term complications include stroke, blindness, heart disease, kidney failure, gangrene, and nerve damage.

islets of langerhans
Islets of Langerhans contain beta cells and are located within the pancreas. Beta cells produce insulin which is needed to metabolize glucose within the body.


Type II Diabetes:
  • Blurred vision.

  • Genital Itching.

  • Candidiasis (yeast) infections of the skin, mouth or vagina.

  • Unusual thirst.

  • Drowsiness.

  • Fatigue.

  • Increased susceptibility to skin Infections.

  • Slow wound healing.

  • Tingling or numbness in the feet.

  • Lingering flu-like symptoms.

  • Loss of hair on the legs.

  • Increased facial hair.

  • Small yellow bumps (xanthomas) anywhere on the body.

  • Blanoposthitis (inflammation of the penile glans and foreskin in males) is often the first sign of diabetes and is usually associated with frequent urination day and night.


  • Some individuals have impaired glucose tolerance (IGT), indicating an asymptomatic subclinical, or latent, form of diabetes. IGT describes those whose plasma glucose levels and responses to glucose are intermediate, somewhere between those of a diabetic and a healthy person.


  • An estimated 5.5 million people in America are being treated for diabetes. Studies indicate that there are 5 million adults with undetected Type II diabetes, and another 20 million have impaired glucose tolerance that may lead to full-blown diabetes. The National Institutes of Health report that undiagnosed diabetes has caused millions of people to lose their vision. In addition, complications of diabetes are the third leading cause of death in the United States. Urinalysis can often detect unsuspected diabetes.

    Some of the symptoms of pregnancy can duplicate diabetic symptoms such as frequent urination. Other pregnancy symptoms include nausea, fatigue, heartburn and breast tenderness.

    Gestational Diabetes:

    Many women are surprised to learn they have gestational diabetes because they have no symptoms. If you do have symptoms from gestational diabetes, they may include:
    • Increased thirst.

    • Increased urination.

    • Increased hunger.

    • Blurred vision.

    Pregnancy causes most women to have to urinate more often and to feel more hungry, so having these symptoms does not always mean that a woman has gestational diabetes. It is important for pregnant women to be tested for gestational diabetes, however, because high blood sugar can cause problems for both the mother and the baby.

    Sometimes, a pregnant woman who has symptoms has been living with another type of diabetes without knowing it.

    MoonDragon's Birth Guidelines: Glycosuria - Gestational Diabetes

    SYMPTOMS OF LOW BLOOD SUGAR

    Symptoms of mild low blood sugar - You may have these symptoms when your blood sugar has dropped below 65 milligrams per deciliter (mg/dL). Young children with diabetes are unable to recognize symptoms of low blood sugar. Parents need to do a home blood sugar test whenever they suspect low blood sugar. When you have had diabetes for many years, you may not always develop symptoms of mild low blood sugar. Symptoms may include:
    • Sweating (almost always present). Check for sweating on the back of your neck at your hairline.
    • Nervousness, shakiness, and weakness.
    • Extreme hunger and slight nausea.
    • Dizziness and headache.
    • Blurred vision.
    • A fast heartbeat and feeling anxious.

    These symptoms may go away shortly after you eat food that contains sugar.

    Symptoms of moderate low blood sugar - If your blood sugar continues to drop (below 40 mg/dL), your behavior may change. Symptoms may include:
    • Inability to concentrate.
    • Confusion and irritability.
    • Slurred speech.
    • Unsteadiness when standing or walking.
    • Muscle twitching.
    • Personality changes, such as anger or crying.

    Symptoms of severe low blood sugar, (usually below 20 mg/dL) include:
    • Seizure.
    • Loss of consciousness (coma).
    • Stroke.
    • Death.

    Signs of low blood sugar at night - If your blood sugar drops while you are sleeping, your partner or other family members may notice that you are sweating and behaving differently. Signs of low blood sugar at night (nocturnal hypoglycemia) include:
    • Restlessness.
    • Making unusual noises.
    • Attempting to get out of bed or accidentally rolling out of bed.
    • Sleepwalking.
    • Nightmares.
    • Sweating.
    • You may wake up with a headache in the morning if your blood sugar was low during the night.





    CAUSES

    Type I Diabetes:
      Type I diabetes is associated with the destruction of the beta cells of the islets of Langerhans of the pancreas, which manufactures insulin. Too little insulin is produced by the pancreas as a result. This type of diabetes occurs mostly in children and young adults. Recent evidence implicates a viral cause in some cases of this disorder. Autoimmune factors may also be involved.

    type 1 diabetes

    In response to high levels of glucose in the blood, the insulin-producing cells in the pancreas secrete the hormone insulin. Type I diabetes occurs when these cells are destroyed by the body's own immune system.


    Type II Diabetes:
      This type of diabetes is often referred to as maturity-onset diabetes and is most likely to occur in people with a family history of diabetes. In this type of disorder, the pancreas does produce insulin, but the insulin is ineffective.

    Gestational Diabetes:
      During pregnancy, an organ called the placenta develops in the uterus. The placenta connects the mother and baby and makes sure the baby has enough food and water. It also makes several hormones. Some of these hormones make it hard for insulin to do its job - controlling blood sugar - so the mother's body has to make more insulin to work well. Gestational diabetes develops when the organ that makes insulin, the pancreas, cannot make enough insulin to keep blood sugar levels within a safe range.

      Most women find out they have gestational diabetes after being tested between the 24th and 28th weeks of their pregnancy. Once you know you have gestational diabetes, you will need to make certain changes in the way you eat and how often you exercise to help keep your blood sugar level within a safe range. As you get farther along in your pregnancy, your body will continue to make more and more hormones. This can make it harder and harder to control your blood sugar. If it is not possible to control your blood sugar with food and exercise, you may also need to give yourself shots of insulin.

      Just because you have diabetes does not mean that your baby will have diabetes. Most women with gestational diabetes give birth to healthy babies. If you are able to keep your blood sugar level within a safe range, your chances of having problems during pregnancy or birth are the same as if you didn't have gestational diabetes.

      In rare cases, a mother or her baby has problems because of high blood sugar. These problems include:
      • High blood pressure.

      • A baby that grows too large. If an unborn baby receives too much sugar, the sugar can turn into fat, causing the baby to grow larger than normal. A large baby can be injured during vaginal birth and may need to be delivered surgically (C-section).

      • After the baby is born, extra insulin may cause the baby's blood sugar level to drop below the safe range. If the baby's blood sugar level drops too low, he or she may need to be given extra sugar. Babies can also develop other treatable problems after birth, including low blood calcium levels, high bilirubin levels, and too many red blood cells.

      • Most of the time, gestational diabetes goes away after a baby is born. However, if you have had gestational diabetes, you have a greater chance of having it in a future pregnancy and of developing type 2 diabetes. More than half of women who develop gestational diabetes will develop type 2 diabetes later in life.





    RISK INCREASES WITH

  • Family history of diabetes mellitus (it occasionally skips one generation).


  • Poor dietary habits with high consumption of refined, processed foods and low consumption of fiber and complex carbohydrates.


  • Obesity.


  • Gestational Diabetes: You have an increased chance of developing gestational diabetes if:
    • You are 25 or older when you become pregnant.

    • You have had gestational diabetes before.

    • You have given birth to a baby who weighed more than 9 lb (4 kg).

    • You weighed more than 9 lb (4 kg) when you were born.

    • You have a parent or sibling who has type 2 diabetes.

    • You are obese (your body mass index [BMI] is 30 or higher).

    • You are a member of a racial/ethnic group that has a high risk of developing diabetes, such as Latin Americans, Native Americans, Asian-Americans, African-Americans, or Pacific Islanders.

    • You have polycystic ovary syndrome.

    • You have a dark skin rash on the back or your neck or in folds on your body.

    • You take corticosteroid medicine.





    PREVENTIVE MEASURES

    Diabetes cannot be prevented. However, with early detection and with proper dietary and lifestyle changes, it can be controlled.

    MoonDragon's ObGyn Procedures: Diabetes Self-Tests

    Gestational Diabetes Prevention:

    In some women, gestational diabetes cannot be prevented. However, you may be able to lower your chance of getting gestational diabetes by maintaining a healthy weight and not gaining too much weight during pregnancy. Regular exercise can also help keep your blood sugar level within a safe range and prevent gestational diabetes.

    If you have had gestational diabetes, you are at risk of developing it again in a future pregnancy. You are also at risk of developing type 2 diabetes, a permanent type of diabetes. One of the best ways to prevent developing gestational diabetes again is to maintain a healthy weight.

    If you have had gestational diabetes, avoid medicines that increase insulin resistance, such as nicotinic acid and glucocorticoid medicines (for example, prednisone and dexamethasone). It is also a good idea to avoid progestin-only birth control pills because they may increase your risk for developing type 2 diabetes. Low-dose combination birth control pills that contain estrogen and progestin are not associated with an increased risk of type 2 diabetes. Talk to your health care provider or midwife about the best kind of contraception for you.

    A baby who is born to a woman with gestational diabetes is at risk for being overweight and for developing type 2 diabetes. If you are able to breast-feed your baby, doing so may reduce the chance that he or she will become overweight. As your child gets older, encourage him or her to eat healthy foods and to exercise regularly to help prevent type 2 diabetes.





    EXPECTED OUTCOME

  • Diabetes is presently considered incurable, but symptoms and progress of the disease can be controlled with rigid adherence to a treatment program.


  • If the diabetes is in good control throughout the pregnancy, the outlook is good for mother and newborn. Unfortunately, a woman with diabetes is considered "high risk" and a homebirth is not recommended.





  • POSSIBLE COMPLICATIONS

    diabetic retinopathy

    Diabetes causes an excessive amount of glucose to remain in the blood stream which may cause damage to the blood vessels. Within the eye the damaged vessels may leak blood and fluid into the surrounding tissues and cause vision problems.


    diabetic foot
    People with diabetes are at risk for blood vessel injury, which may be severe enough to cause tissue damage in the legs and feet.


    For the diabetic:
      Cardiovascular disease, especially stroke, atherosclerosis, and coronary artery disease; urinary tract infections (UTI); kidney failure; blindness; peripheral vascular disease; life-threatening hypoglycemia (low blood sugar) if too much insulin is used; life-threatening ketoacidosis (very high blood sugar) with breakdown of body cells; pregnancy induced hypertension (PIH); miscarriage. All more likely to occur with poor control of the diabetes.

    For the fetus or newborn:
      Excess amniotic fluid (hydramnios), large-for-term size, birth defects, hypoglycemia (low blood sugar), hyperbilirubinemia (too much bilirubin in the liver), hypocalcemia (too little blood calcium), fetal death, stillbirth.




    TREATMENT


    DIAGNOSTIC TESTS & EXAMS

    urine test strips
    You may have a urine dipstick test performed at each prenatal visit to check for glucose and ketones in your urine. Your midwife may have you check your own urine on a regular basis between prenatal visits. It is easy to do and inexpensive. If glucose is indicated on the urine test strips, you may be encouraged to have further blood testing and/or a glucose tolerance test performed.

    Almost all women are tested for gestational diabetes between the 24th and 28th weeks of pregnancy. If your health care provider or midwife thinks you are at increased risk for developing gestational diabetes, you may be tested earlier.

    Gestational diabetes is diagnosed with a two-part test called an oral glucose tolerance test. In the first part, your blood sugar is tested 1 hour after you drink a small cup of a sweet liquid. If your results from this test come back high, you will need to do the second test - a longer, 3-hour glucose test. In this test, you cannot eat or drink anything except water for at least 8 hours. After fasting, your blood sugar level will be tested. Then you will drink a small cup of sweet liquid and have your blood sugar tested every hour for at least 3 hours. If your blood sugar levels come back high on two or more of these tests, you have gestational diabetes.

    Finding out that you have gestational diabetes can be scary. It can be reassuring to know that most women who have gestational diabetes give birth to healthy babies and that you are the most important person in promoting a healthy pregnancy.

    Treatment for gestational diabetes involves making healthy choices. Most women who make changes in the way that they eat and how often they exercise are able to keep their blood sugar level within a safe range. Controlling your blood sugar is the key to preventing problems during pregnancy or birth.

    You, your health care provider and/or midwife and other health professionals will work together to develop an individualized treatment plan. You do not need to eat strange or special foods, but you may need to change what, when, and how much you eat. You also do not need to start a fancy exercise program or join an expensive gym; walking several times a week can really help your blood sugar.

    The lifestyle changes you make now will not only help you have a healthy pregnancy, they will help you prevent diabetes in the future. As you start making these changes, you will learn more about your body and how it reacts to food and exercise. You may also notice that you feel better and have more energy.

    MoonDragon's Birth Guidelines: Glycosuria - Gestational Diabetes

    JELLY BEAN GLUCOSE TOLERANCE TEST

    RESEARCH DATA

    Title: Jelly Bean Alternatives for Glucose Testing - Jelly beans as an alternative to a cola beverage containing fifty grams of glucose.
    Author: Boyd KL; Ross EK; Sherman SJ
    Address : Department of Obstetrics and Gynecology, St. John Hospital and Medical Center, Detroit, Michigan, USA.
    Source: Am J Obstet Gynecol, 1995 Dec, 173:6, 1889-92 Abstract:

    OBJECTIVE: Our purpose was to test the diagnostic value and patient tolerance of jelly beans as an alternative to a 50 gm glucose solution.

    STUDY DESIGN: Pregnant women between 26 to 30 weeks of gestation confirmed by early ultrasonography were recruited to participate in the study. Each participant was given a cola beverage containing 50 gm of glucose. The plasma glucose level was determined 1 hour later. Within 2 weeks of the 50 gm glucose test, each patient ate 18 jelly beans and had her plasma glucose levels tested after 1 hour. Finally, within 2 weeks of the jelly bean test a 100 gm, 3-hour glucose tolerance test was performed on each subject. The results of the 3-hour test were used to define the presence or absence of gestational diabetes and carbohydrate intolerance by the criteria of The American College of Obstetricians and Gynecologists. Patient tolerance was rated by responses to questions regarding side effects.

    RESULTS: One hundred fifty-seven women completed the study. The mean maternal age, gravidity, parity, and number of abortions were 26.06 years, 2.66, 0.96, and 0.69. By use of a 140 mg/dl threshold, the sensitivity, specificity, and positive predictive value of the cola beverage was 46%, 81%, and 18%. These values at a 120 mg/dl threshold for jelly beans were 54%, 81%, and 20%, respectively. The patient tolerance was greater for the jelly beans compared with the 50 gm cola beverage.

    CONCLUSION: Jelly beans may serve as an alternative to a cola beverage containing 50 gm of glucose.

    A study published in the American Journal of Obstetrics and Gynecology suggests that jelly beans may be used to administer glucose tests during pregnancy. If you've ever tasted the sweet cola beverage that is normally given for glucose tests, this news will come as a welcome surprise. Ten to 15 percent of pregnant women who are given the beverage either vomit from it or refuse to drink all of it, so they never get tested adequately. Side effects other than vomiting may include nausea without vomiting, abdominal pain, bloating, and profuse sweating.

    A glucose test usually is given between 24 and 28 weeks of pregnancy, to screen for gestational diabetes. This condition, triggered by hormonal changes during pregnancy, affects about two to three percent of pregnant women. Most cases disappear on their own after pregnancy, but the disorder needs to be treated during pregnancy nonetheless. Left untreated, it greatly increases the chance of serious complications for both mother and baby. With treatment such risks are greatly reduced.

    Obstetricians at St. John Hospital Medical Center, in Detroit, gave 157 women a glucose test with the typical cola beverage. Blood glucose was tested after one hour. Within two weeks after the test, the doctors administered another glucose test, but substituted 18 jelly beans for the drink. Again, blood glucose was tested after an hour.

    The jelly-bean test turned out to be as accurate a predictor of gestational diabetes as the beverage test. What's more, the jelly beans caused almost no side effects (a tiny percentage of women experienced nausea or a headache), and 87.9 percent of the women preferred them to the cola drink.

    Jelly beans are not yet offered as a routine alternative to the cola drink. But you can ask your doctor or midwife whether he/she is familiar with this study, and whether he/she would be willing to use jelly beans as outlined in the study.

    ANOTHER JELLY BEAN STUDY

    Source: 1: Am J Obstet Gynecol. 1999 Nov;181(5 Pt 1):1154-7.
    Title: Jelly beans as an alternative to a fifty-gram glucose beverage for gestational diabetes screening.
    Author: Lamar ME, Kuehl TJ, Cooney AT, Gayle LJ, Holleman S, Allen SR.
    Address: Department of Obstetrics and Gynecology, Scott and White Clinic and Memorial Hospital, Texas A&M University Health Science Center College of Medicine, Temple, USA.

    OBJECTIVE: This study tested the hypothesis that a standardized dose of jelly beans could be used as an alternative sugar source to the 50-gram glucose beverage to screen for gestational diabetes mellitus.

    STUDY DESIGN: One hundred sixty pregnant women at 24 to 28 weeks' gestation were recruited for a prospective study to compare 2 sugar sources for serum glucose response, side effects, preference, and ability to detect gestational diabetes mellitus. Patients were randomly assigned to consume 50-gram glucose beverage or 28 jelly beans (50 grams simple carbohydrate). Serum glucose values were determined 1 hour later. The test was later repeated with the other sugar source. Finally, a 100-gram 3-hour oral glucose tolerance test was performed. Participants completed a questionnaire recording subjective outcome variables. American Diabetes Association criteria were used to interpret all test results.

    RESULTS: Among 136 participants completing the study no significant differences were found between 1-hour serum glucose values (116.5 +/- 27 mg/dL with 50-gram glucose beverage, 116.9 +/- 23.6 mg/dL with jelly beans; P =.84), frequency of discrepant results (P =.47), sensitivity, specificity, or predictive value. Jelly beans yielded fewer side effects (38% with 50-gram glucose beverage, 20% with jelly beans; P <.001) and were preferred by 76% of participants (P <.001). Five cases (3.7% incidence) of gestational diabetes mellitus were diagnosed, 3 with 50-gram glucose beverage alone, 1 with jelly beans alone, and 1 with both sugar sources.

    CONCLUSIONS: Jelly beans may be used as an alternative to the 50-gram glucose beverage as a sugar source for gestational diabetes mellitus screening. The 2 sources provoke similar serum glucose responses. Patients report fewer side effects after a jelly bean challenge than after a 50-gram glucose beverage challenge.

    PMID: 10561636 [PubMed - indexed for MEDLINE]

    Please Note: According to internet research, the jelly beans used in the study were Brach's Brand and they were regular sized jelly beans for the 1 hour, 50 gram glucose tolerance test. They must be chewed and swallowed within 2 minutes. Do not use any other form of candy except the Brach's Jelly Beans (for consistent size) since the simple sugar found in the jelly beans is absorbed into the blood stream differently than, let's say, a 3 Musketeer's Candy Bar, which contains other ingredients such as fat.

    According to practitioner responses, there seems to be no problems with their pregnant clients consuming 18 jelly beans (or 28 smaller jelly beans to equal 50 grams of simple sugar) within the 2 minute period and they found a lot of satisfied women that were grateful that they were not required to drink the cola flavored glucose drink or "the orange stuff" (glucose beverage called glycol, which often caused vomiting and other negative side effects when consumed).



    There is an even better, less invasive test that can be done in most cases. This is called a "2 hour Postprandial Glucose Test", and consists of having a single blood draw 2 hours following the consumption of a normal meal.

    If these results are abnormal, a glucose tolerance test can be performed to confirm the diagnosis. Some conventional OB/GYN practitioners have no problem with ordering this test in lieu of the standard glucose tolerance test and it can be done at nearly any laboratory. It is a standard test where the blood is drawn at 2 hours following a meal. Quoting from Mosby's "Diagnostic and Laboratory Test Reference" (3rd ed.) "For this study, a meal acts as a glucose challenge ... is an easily performed screening test for diabetes..."

    For the 3 hour, 100 gram glucose test, the liquid glucose is still recommended instead of jelly beans.





    GENERAL MEASURES

    You are the most important person in determining whether you will have a healthy pregnancy. Gestational diabetes, like any form of diabetes, cannot be successfully treated with medicines alone. Your midwife, health care provider, diabetes educator, registered dietitian, and other health professionals can help you learn how to care for yourself and protect your baby from problems. If you learn as much as you can about gestational diabetes, you will have the knowledge you need to have a healthy pregnancy. As you understand how food and exercise affect your blood sugar, you can better control your blood sugar level and help prevent problems from gestational diabetes or diabetes during pregnancy.

    Home treatment for gestational diabetes includes changing the way you eat, exercising regularly, and checking your blood sugar. Eating healthy foods is the most important change you can make in your lifestyle. Changing what, when, and how much you eat can help keep your blood sugar level within a safe range. After you are diagnosed with gestational diabetes, you may be required to meet with a registered dietitian to develop an individualized healthy eating plan. Your dietitian may ask you to write down everything you eat and to keep track of your weight. He or she will also teach you how to count carbohydrate in order to spread them throughout the day. For more information about diets and food-nutrient composition see:

    MoonDragon's Nutrition Information Index

    All pregnant women need to take prenatal vitamins. If you want to take other types of vitamins, talk with your midwife or health care provider before taking any nutritional supplement. Do not take more of any vitamin than would be found in the approved prenatal vitamins unless directed by your midwife or health care provider.

    OTHER THINGS YOU CAN DO:

  • Learn all you can about controlling diabetes and recognizing signs and symptoms of ketoacidosis or hypoglycemia.

    Hyperglycemia:
      If these symptoms develop, go to the emergency room of the nearest hospital. This is a potentially dangerous situation. Intravenous administration of proper fluids, electrolytes, and insulin may be required.

    Hypoglycemia:
      If these symptoms develop, immediately consume fruit juice, soda pop, or anything else that contains sugar. If that fails to help within twenty minutes, repeat this regimen. If the second treatment fails, or if you cannot ingest food, seek immediate medical attention and/or administer a glucagon injection. Anyone who has insulin-dependent diabetes should always carry a glucagon kit and know how to use it.

      Dealing with low blood sugar when you have gestational diabetes - Take the following steps to deal with low blood sugar:
      • Go over the symptoms of low blood sugar so you can recognize them early. Keep these with you and have another copy posted in a convenient place so you and other people can check your symptoms whenever you think you may have low blood sugar.
      • Check your blood sugar level using your blood sugar (glucose) meter. You may not always know that your blood sugar level is dropping.
      • Drink fat-free milk or eat quick-sugar foods. If you drink 8 fl oz (237 mL) of fat-free milk, it will raise your blood sugar level 25 mg/dL to 30 mg/dL. If fat-free milk is not available, eat some quick-sugar food, such as a tablespoon of sugar or a few pieces of hard candy, or drink 1/2 cup of fruit juice or soda pop. Liquids will raise your blood sugar faster than solid foods.
      • Check your blood sugar level 10 to 15 minutes after you eat or drink something because that is how long it will take for the sugar to get into your blood.
      • Wait another 10 to 15 minutes and check your blood sugar again. If your blood sugar is still below 60 mg/dL, eat or drink something that contains sugar and protein, such as milk.
      • Eat a regular meal or a snack. When your blood sugar has returned to above 60 mg/dL, eat a regular meal or a snack that contains protein (such as peanut butter). This will help keep your blood sugar from dropping again.
      • If your blood sugar level remains below 65 mg/dL or you are getting more sleepy, call 911 or other emergency services immediately. Follow the guidelines in emergency care for low blood sugar. If possible, have someone stay with you until your blood sugar is above 60 mg/dL or until emergency service arrives.

    glucose monitor glucose testing


  • Learn the techniques of home monitoring of blood sugar and monitor regularly. You will need to test blood sugar levels a minimum of 4 times a day, sometimes more often.

  • Wear a medical alerting type of bracelet or pendant indicating the diabetes disorder and medications being taken.

  • For Type I diabetes, learn to give yourself injections. It is important for a person with this condition to have a good relationship with her health care provider prescribing the insulin. There are more than 30 insulin formulations on the U.S. market, but all are variations of several basic types. The most commonly used are purified porcine (pork), purified bovine (beef), and recombinant DNA-origin (human) insulin. The purified porcine insulin is insulin derived from the pancreases of pigs that has undergone further purification; purified bovine insulin is cattle-pancreas-derived insulin that has undergone further purification. Recombinant DNA-origin insulin is genetically engineered by inserting the human gene for insulin production into a non-disease-producing laboratory strain of Escherichea.coli bacteria or yeast. The diabetic person taking insulin must find a formulation that works with her particular body the best.

  • If you have a child with diabetes or if you have diabetes, make sure that his/her teachers and those close to you or your child are familiar with the warning signs of hypoglycemia and hyperglycemia and know how to respond to a episode of either case.

  • Avoid tobacco in any form; it constricts the blood vessels and inhibits circulation. Keep your feet clean, dry, and warm, and wear only white cotton socks and well-fitting shoes. Lack of oxygen (because of poor circulation) and peripheral nerve damage (with loss of pain sensation) are major factors in the development of diabetic foot ulcers. Try to avoid injury, and take measures to improve the circulation in the feet and legs.

  • Get regular foot care by a podiatrist and regular eye examinations by a retina specialist. Discuss with your health care provider about possible monitoring of kidney and cardiac function.

  • Avoid people with colds or other infections. Seek medical treatment if you develop an infection. Don't try to treat yourself.

  • Midwife or health care provider visits and medical testing during pregnancy will be more frequent and more vital than with non-diabetic women. During the second and third trimester, testing is usually recommended to assess the growth and development of the fetus.

  • Elective early delivery is often recommended due to the increased size of the fetus and a deterioration of the placenta. Diagnostic tests to assess fetal lung maturity will help determine optimum time for delivery. Labor may be induced early or a cesarean section may be necessary.



    HERBS HELPFUL FOR DIABETES


    I am a student midwife and work with herbs. Two herbs helpful for diabetes and safe during pregnancy are Buchu and Uva Ursi. The dosage would be: as a tea, boil a heaping teaspoon of uva ursi in a pint of boiling water for thirty minutes (low boil to prevent evaporation). Remove from heat and add an ounce of buchu leaves. Steep. Do not boil buchu leaves. Buchu is originally from Africa. If you have trouble finding the ingredients, I can help you. (These herbs are available in bulk form from Mountain Rose Herbs.)

    Louise Hay states a probable cause for diabetes is "longing for what might have been; great need to control; deep sorrow; no sweetness left." The affirmation she recommends is, "This moment is filled with joy. I now choose to experience the sweetness of today." I have seen metaphysical work effect healing.

    As a fitness trainer, I was taught how exercise and nutrition help diabetes. Exercise promotes the entry of glucose into the cells and so can lower a diabetic's glucose levels. Too much exercise can bring on an episode of hypoglycemia. A safe recommendation, with your care provider's approval, would be: walking, plenty of hydration and the Bradley or Brewer diet (which can be accommodated to vegetarians). One key to stabilizing blood sugar is the required 75-100 grams of protein daily, eaten in six meals throughout the day. Pasta should be cooked al dente. White flour/sugar products should be replaced with whole grains. Carbohydrates break down into sugar, so limit portions.
    -Beth
    Reply to: WINGDEL@aol.com


    Reprinted from Midwifery Today E-News (Vol 1 Issue 44, Oct 29, 1999)
    To subscribe to the E-News write: enews@midwiferytoday.com
    For all other matters contact Midwifery Today:
    PO Box 2672-940, Eugene OR 97402
    541-344-7438, midwifery@aol.com, Midwifery Today


    Additional information is available from:

    MoonDragon's Health & Wellness: Diabetes Management

    MoonDragon's ObGyn Procedures: Diabetes Self-Test

    MoonDragon's Nutrition Information: Hypoglycemic Diet

    MoonDragon's Nutrition Information: Gestational Diabetes Diet

    MoonDragon's Health & Wellness: Hypoglycemia

    MoonDragon's ObGyn Information: Diabetic Retinopathy

    MoonDragon's Pregnancy Information: Gestational Diabetes

    MoonDragon's Birth Guidelines: Glycosuria - Gestational Diabetes

    American Diabetes Association
    National Center
    P.O. Box 25757
    1660 Duke Street
    Alexandria, VA 22314
    (703) 549-1500
    http://www.diabetes.org
    Ask about state and local chapters.

    American Heart Association
    7272 Greenville Avenue
    Dallas, TX 75231
    800-AHA-USA1
    (214) 373-6300
    Ask about state and local chapters.

    International Diabetes Center
    3800 Park Nicolet Boulevard
    Minneapolis, MN 55416
    (612) 927-3393


    Joslin Diabetes Center
    One Josline Place
    Boston, MA 02215
    (617) 732-2415


    Juvenile Diabetes Foundation (JDF)
    120 Wall Street, 19th Floor
    New York, NY 10005
    (800) 533-2873
    (212) 785-9500


    National Diabetes Information Clearinghouse (NDIC)
    1 Information Way
    Bethesda, MD 20892-3560
    (301)654-3327


    National Eye Institute (NEI)
    National Institutes of Health
    Building 31, Room 6A32
    31 Central Drive,MSC 2510
    Bethesda, MD 20892-2510
    (301)496-5248


    National Institute of Diabetes and Digestive
    and Kidney Diseases (NIDDK)
    National Institutes of Health
    Building 31, Room 9A04
    31 Central Drive,MSC 2560
    Bethesda, MD 20892-2560
    (301)496-3583





    MEDICATION

  • Insulin by injection will be prescribed for Type I. Dosage must be individualized and occasionally adjusted, especially in pregnancy when insulin requirements change. Normal therapy is 2 or more injections per day under the skin (subcutaneous). To avoid risks, diabetics on oral hypoglycemics will be switched to insulin during pregnancy.


  • Most women can treat gestational diabetes by changing the way they eat and exercising more often. If these changes do not keep your blood sugar level within a safe range, you may need to take insulin. You may also need to take insulin if your health care provider and/or midwife thinks that your baby is getting too large.

    If you need to take insulin, your health care provider or midwife will teach you how to give yourself an insulin shot.

    If you have gestational diabetes and you have not been able to keep your blood sugar levels within a safe range by changing the way you eat and exercising, you will need insulin shots.

    Taking insulin can help prevent high blood sugar. High blood sugar can lead to problems for you and your baby. Insulin is only available as a shot that is given into the fatty tissue just under the skin. In pregnant women, insulin usually is given in the upper arm or thigh. At first, you may feel nervous about giving yourself insulin shots. But, after a little while, it will become a routine part of your day. It is not hard to learn how to do and any sting you might feel will not last long. More than 500,000 people do it every day. You can, too. It is also important to:
    • Have the right dose of insulin, especially if you are giving two types of insulin in the same syringe.
    • Practice how to give your shot.
    • Store the insulin properly so that each dose will work well.



    An insulin syringe has four parts: a cap, a needle, a barrel, and a plunger.

    The needle is short and thin and covered with a fine layer of silicone to allow it to pass through the skin easily. A cap covers and protects the needle before it is used.

    The barrel is the long, thin chamber that holds the insulin. The barrel is marked with lines to measure the number of insulin units.

    The plunger is a long, thin rod that fits snugly inside the barrel of the syringe. It easily slides up and down to push the insulin out through the needle. The plunger has a rubber seal at the lower end to prevent leakage. The rubber seal is matched with the line on the barrel to measure the correct amount of insulin.

    Insulin syringes are made in several sizes. To get ready to give an insulin shot, follow these steps:

    1. Gather your supplies. You will need an insulin syringe, your bottle of insulin, and an alcohol wipe or a cotton ball dipped in alcohol. Most people keep their supplies in a bag or kit so they can carry the supplies with them wherever they go.

    Syringe size Number of Units the syringe holds
    1/4 ml or 0.25 ml
    25
    1/3 ml or 0.33 ml
    30
    1/2 ml or 0.50 ml
    50


    Use the smallest syringe size you can for the dose of insulin you need. The measuring lines on the barrel of small syringes are further apart and easier to see. When you choose the size of syringe, consider the number of units you need to give and how well you can read the numbers on the barrel. A 0.25 ml or 0.33 ml syringe often is best for people who have poor eyesight because the numbers on the barrel are larger and easier to see.

    2. Check the insulin bottle label and contents. When you use an insulin bottle for the first time, write the date on the bottle. On the 30th day after opening it, throw the bottle away. Insulin may not work as well after 30 days.

    When you prepare to take insulin, check the label on the bottle (vial) or cartridge for the:
    • Expiration date of the insulin.
    • Correct name and source of insulin (human or pig) prescribed for you.
    • Correct type of insulin prescribed for you (rapid-, short-, intermediate-, or long-acting, or mixed).
    • Correct concentration of insulin prescribed for you. (The most commonly used concentration is U-100, which contains 100 units of insulin per milliliter or cubic centimeter.) Sometimes insulin is produced in a less concentrated (diluted) form for babies. Make sure you give your baby the dilution your health care provider prescribed.

    Also, check the bottle or cartridge for cracks or chips. Look for changes in the appearance of the insulin that can indicate it will not work, such as:
    • A coating of white crystals on the inside surface of the bottle.
    • A grainy look or clumping or curdling of the insulin.
    • Other changes in the insulin's clarity or color.



    3. Wash your hands with soap and running water. Dry them thoroughly.

    Prepare the shot: Your preparation will depend on whether you are giving one type of insulin or mixing two types of insulin.

    To prepare a shot with a single type of insulin, follow the instructions in steps for preparing a single dose of insulin.

    Steps for Preparing a Single Dose of Insulin

    Follow these steps when preparing a single type of insulin for a shot.

    1. Roll the bottle (vial) gently between your hands. This will warm the insulin if you have been keeping the bottle in the refrigerator. Roll a bottle of cloudy insulin until the white powder has dissolved.

    2. Wipe the rubber lid of the insulin bottle with an alcohol wipe or a cotton ball dipped in alcohol. If you are using a bottle for the first time, remove the protective cover over the rubber lid.

    3. Remove the plastic cap covering the needle on your insulin syringe (without touching the needle).

    4. Pull the plunger of the syringe back and draw air into the syringe equal to the number of units of insulin to be given.

    Step 4.


    5. Insert the needle of the syringe into the rubber lid of the insulin bottle. Push the plunger of the syringe to force the air into the bottle. This equalizes the pressure in the bottle when you remove the dose of insulin. Leave the needle in the bottle.

    Step 5.


    6. Turn the bottle and syringe upside down and hold them in one hand. Position the tip of the needle so that it is below the surface of insulin in the bottle. Pull back the plunger to fill the syringe with slightly more than the correct number of units of insulin to be given.

    Step 6.


    7. Tap the barrel of the syringe so that trapped air bubbles move into the needle area. Push the air bubbles back into the bottle. Make sure you now have the correct number of units of insulin in your syringe.

    Step 7.


    8. Remove the needle from the bottle. Now you are ready to give the injection.

    Step 8.


    To prepare a shot containing two types of insulin, follow the instructions in steps for preparing a mixed dose of insulin.

    Steps for Preparing a Mixed Dose of Insulin

    Follow these steps when preparing two types of insulins to be given in the same shot.

    1. Roll the insulin bottles (vials) gently between your hands. This will warm the insulin if you have been keeping the bottle in the refrigerator. Roll the cloudy insulin bottle until all the white powder has dissolved.

    2. Wipe the rubber lid of both insulin bottles with an alcohol wipe or a cotton ball dipped in alcohol. If you are using a bottle for the first time, remove the protective cover over the rubber lid.

    3. Remove the plastic cap covering the needle on your insulin syringe (without touching the needle).

    4. Pull the plunger of the syringe back and draw air into the syringe equal to the number of units of cloudy insulin to be given.

    Step 4.


    5. Push the needle of the syringe into the rubber lid of the cloudy insulin bottle. Push the plunger of the syringe to force the air into the bottle. This equalizes the pressure in the bottle when you later remove the dose of insulin. Remove the needle from the bottle.

    Step 5.


    6. Pull the plunger of the syringe back and draw air into the syringe equal to the number of units of clear insulin to be given.

    7. Push the needle of the syringe into the rubber lid of the clear insulin bottle. Push the plunger to force the air into the bottle. Leave the needle in place.

    8. Turn the bottle and syringe upside down and hold them in one hand. Position the tip of the needle so that it is below the surface of insulin in the bottle. Pull back the plunger to fill the syringe with slightly more than the correct number of units of clear insulin to be given.

    Step 8.


    9. Tap the barrel of the syringe so that trapped air bubbles move into the needle area. Push the air bubbles back into the bottle. Make sure that you have the correct number of units of insulin in your syringe. Remove the needle from the clear insulin bottle.

    Step 9.


    10. Insert the needle into the rubber lid of the cloudy insulin bottle. Do not push the plunger because this would force clear insulin into your cloudy insulin bottle. If clear insulin is mixed in the bottle of cloudy, it will alter the action of your other doses from that bottle.

    11. Turn the bottle and syringe upside down and hold them in one hand. Position the tip of the needle so that it is below the surface of insulin in the bottle. Slowly pull back the plunger of the syringe to fill the syringe with the correct number of units of cloudy insulin to be given. This will prevent air bubbles entering the syringe. Remove the needle from the bottle.

    Step 11.


    12. You should now have the total number of units for the clear and cloudy insulin in your syringe. For example, if 10 units of clear and 15 units of cloudy are needed, you should have 25 units in your syringe. Now you are ready to give the shot.


    Prepare the site - Before giving your shot, take the time you need to do the following:
    • Choose the place. See the diagram of shot areas for guidance. If you give your shots in different places on your body each day, use the same site at the same time of the day.


    Insulin Injection Areas For Gestational Diabetes

    The purple areas on these pictures show areas of the body where insulin can be injected. You can give yourself a shot in:
    • The top outer area of the thighs. Insulin usually is absorbed more slowly from this site, unless you exercise soon after injecting insulin into your legs.
    • The upper outer area of the arms.
    • The buttocks.

    Change the spot where you give the shot slightly each time so that you do not get bumps or pits in your skin. For example, use the right upper arm 5 times in different places, then use the left upper arm in 5 places.



  • Clean the area. If you use alcohol to clean the skin before you give the shot, let it dry. Relax your muscles in the area so the shot will be less uncomfortable.

  • Give the shot - Follow these steps for giving an insulin shot:
      1. Slightly pinch a fold of skin between your fingers and thumb of one hand.
      2. Hold the syringe like a pencil close to the site, keeping your fingers off the plunger. Usually the syringe is at a 90-degree angle to the skin site. If you are thin, you may need to insert the needle at a 45-degree angle. This will prevent the insulin from being injected into muscle, causing it to be absorbed more quickly.
      3. Quickly push the needle all the way into the pinched-up area.
      4. Push the plunger of the syringe all the way in so the insulin goes into the fatty tissue.
      5. Remove the needle slowly at the same angle that you inserted it. If you bleed a little, apply pressure over the area using your finger, a cotton ball, or piece of gauze. Do not rub the area. Check your blood sugar more frequently on the days when bleeding occurs.
      6. Replace the cover over the needle. Although syringe manufacturers do not recommend it, some people reuse their syringes until the needle becomes dull or bent.

      Precautions when reusing insulin syringes - Some people with diabetes use their insulin syringes more than once to save money. Talk with your health care provider before reusing your syringes. Some people with diabetes should not reuse their syringes, including people who have:
      • Trouble seeing clearly.
      • Trouble using their hands.
      • Infections or open wounds.

    Some precautions to take if you reuse syringes:

  • Put the cover back on the needle after use. The safest way to do this is to place the cover and syringe on a flat surface and slide the cover over the needle without letting the needle touch either the flat surface or your fingers. Only the inside of the cover should touch the needle. Do not hold the syringe straight up; you may accidentally stick yourself.

  • Do not clean the needle with alcohol. Alcohol removes the silicone covering on the needle, causing it to become dull.

  • Store the syringes at room temperature. It is best to store them with the covered needle pointing up to prevent insulin from blocking the needle opening.
  • Dispose of reused syringes in safe containers when:
    • The shot hurts when you use the syringe.
    • The needle becomes dull. Needles usually are dull after being used more than 5 times.
    • The needle is bent or has touched something other than your skin.
    • You notice redness or signs of infection at the place where you have given the shot. Let your health care provider know if you have an infection.





    Clean Up and Storage After Giving Your Shot:
    • Store your insulin properly so that each dose from the bottle will work well.
    • Do not throw your used syringe, needle, or lancet in a trash can. You can dispose of it in a metal container with a lid that screws on or that you tape down tightly. You also can buy special containers for disposing of used needles and syringes. Talk with your local trash disposal agency or your doctor about how to get rid of the container.

    Other suggestions for success and safety to help you be safe and successful in giving your insulin shots:

  • Teach someone else to give your insulin shots. Have that person give you a shot from time to time so they will know how to do it in case of an emergency.
  • Do not mix other medicine with insulin without your health care provider's instruction. If you are taking two types of insulin, ask your health care provider or pharmacist whether they can be mixed in the same syringe.
  • Never share syringes with another person because of the risk of getting diseases that can be transferred through blood, such as HIV or infection of the liver (hepatitis).

    insulin pump

    An insulin pump may be recommended by your health care provider to provide insulin doses to the body in a controlled manner.





  • ACTIVITY

  • Regular daily exercise is an important part of controlling diabetes and will help get you in the best physical condition for delivery. Any exercise program will need to be reviewed with your midwife or health care provider.


  • Insulin dosage may need to be adjusted according to the planned physical activity.


  • Rest is also important, especially during the third trimester.





  • diabetes


    DIET FOR DIABETES

  • A special diet will be prescribed (consult a dietitian or nutritionist). Follow the diet carefully. This is one of the most important aspects of your self-care and can affect the outcome of your pregnancy.

    MoonDragon's Nutritional Information: Gestational Diabetes Diet.

    MoonDragon's Health & Wellness: Diabetes


    DIET FOR GESTATIONAL DIABETES

  • Dietary changes are an important aspect of the treatment and specific diet instructions will be provided. Following the prescribed diet will decrease the risks to mother and unborn child. A low fat, high fiber diet including raw vegetables and fresh vegetable juice is recommended. Avoid saturated fats and simple sugars. Avoid or restrict alcohol use.


  • MoonDragon's Nutritional Information - Gestational Diabetes: Nutrition & Diet

  • These diet changes will involve increased fiber intake, fat restriction, elimination of concentrated sweets, and possibly the monitoring of caloric intake to prevent excessive weight gain.


  • Consultation with a dietician is often recommended for educational purposes, to answer your dietary questions and to provide follow-up encouragement.


  • BENEFICIAL DIETARY SUPPLEMENTS & PRODUCTS

    The nutrients below may be taken in combination with one another unless otherwise noted or as recommended by your midwife or health care provider. Those suffering from gestational diabetes should consult a midwife, health care provider or dietary consultant before using any supplement or herb.





    HERBAL & HOLISTIC RECOMMENDATIONS FOR DIABETES


    HERBS

  • Beanpod tea, made up of kidney, white, navy, lima, and northern beans, detoxifies the pancreas.


  • Most legumes are a good meal choice for diabetics. even though beans contain starch, they are also rich in protein, fiber and saponins, all of which can help to balance blood sugar. Eat bean burritos, make chili with beans, put kidney beans in salads and prepare bean dips. Homemade bean soup is always nice, especially during the winter months when it is cold and miserable outdoors.


  • Bitter Melon (Momordica Charantia), Gudmar (Gymnema sylvestre), and Gulvel/Guduchi (Tinospora Cordifo) are herbal remedies used in Ayurvedic medicine to regulate blood sugar levels.


  • Herbal Remedies: GlyMordica Bitter Melon, 100% Natural, 450 mg, 60 Caps
    Bitter melon is one of the few agents which has the potential to bolster a flagging pancreas. Known for it's ability to help with liver problems, Diabetes and HIV also an excellent natural common cold remedy.

    Herbal Remedies: Momordica Charantia Powder, Alternative Health & Herbs, 4 oz.
    Momordica Charantia is an antibiotic, antiviral, immunosuppressive, insulinomimetic, and hypotensive. Also known as Bitter Melon, Momordica is used for diabetes, rheumatoid arthritis, systemic lupus erythematosus. Lowers blood sugar. Momordica is an antibiotic, antiviral, immunosuppressive, insulinomimetic, and hypotensive.

    Herbal Remedies: Momordica Tincture, 100% Organic, 2 fl. oz.
    It has been suggested that Bitter Melon, Momordica, has anti-tumor and antiviral actions. MAP 30 is a protein found in Bitter Melon that is believed to have multiple functions that could be beneficial in treating HIV infection.

    Herbal Remedies: Gymnema Extract, Standardized, Nature's Way, 260 mg, 60 Caps
    Gymnema Extract is standardized to 75% gymnemic acids and Gymnema is a traditional Ayurvedic medicine and is referred to as destroyer of sugar because chewing the leaves blocks the taste of sweetness.

    Herbal Remedies: Gymnema Sylvestre Tincture, 100% Organic, 2 fl. oz.
    For diabetes, hypoglycemia, and as a digestive tonic. Used for weight reduction, to help prevent tooth decay, and restore pancreatic function. Helps to block the absorption of sugar in the digestive tract.

    Herbal Remedies: Blood Sugar Formula With Gymnema Extract, Nature's Way, 90 Caps
    Blood Sugar Formula with Gymnema Extract represents the powerful synergy of current scientific research and traditional herbal medicine.

    Herbal Remedies: Glucose Metabolic Support, NOW Foods, 90 Caps
    Glucose Metabolic Support contains GlucoTrim, a new dietary ingredient, and extracts of Gymnema, which has been used for centuries by Ayurvedic medical practitioners for glucose metabolism.

    Herbal Remedies: Guduchi Stem Powder, Certified Organic, Banyan Botanicals, 1/2 lb.
    Certified Organic Guduchi Stem Powder (Tinospora Cordifolia) is a slightly bitter herb that balances all doshas, and is especially useful for a variety of pitta-related conditions.

  • Cedar berries are excellent nourishment for the pancreas.




  • Herbal Remedies: Diabetic Insulin Support, Natural Insulin Tincture, 100% Organic, 2 fl. oz.
    The Diabetic Insulin Support, natural insulin, provides synergistic support for the adrenals, kidneys and pancreas and may help those with insulin dependent diabetes. May help those with insulin dependent diabetes decrease dependence on insulin. Cleansing & detoxification formula. Suggested Dosage or Use: 6-12 drops or more, 3 times per day as needed. Ingredients: Cedar Berries; Uva Ursi; Licorice; Mullein; Cayenne Pepper (Capsicum Annum).

  • Dandelion root protects the liver, which converts nutrients into glucose. Note: If you suffer from gallbladder problems, avoid large quantities of dandelion.


  • Fenugreek seeds have been shown to reduce cholesterol and blood sugar levels. This can be purchased under the brand name Sugar-Down (unable to find this product under this brand name online).


  • Fenugreek seeds and blackberry and blueberry leaves have a beneficial effect on pancreatic function. Mix in equal parts to make a tea blend. Use 1 teaspoon of the mixture for each cup of water. Steep for 30 minutes and then strain. Drink as much as 2 quarts daily.




  • Take Garlic capsules and/or eat fresh Garlic in salad dressings or prepare a Garlic tincture. For the tincture, peel 8-10 whole bulbs of garlic and place in a blender with enough vodka or brandy to cover. Purée and transfer to a glass jar. Ensure that the garlic is fully covered by adding additional vodka, as needed. Let stand in a dark, warm place for about 2 weeks, shaking it daily. Filter out the garlic pieces and take 1 teaspoon of the tincture 3-4 times daily.


  • Ginseng tea is believed to lower the blood sugar level. Caution: Do not use this herb if you have high blood pressure.


  • Herbal Remedies: Panax Ginseng (Korean Ginseng) Herbal Tea, 20 Tea Bags

    Herbal Remedies: American Ginseng, Whole Root, 4 oz. bulk

  • Huckleberry helps to promote insulin production.


  • Herbal Remedies: Huckleberry (Vaccinium Myrtillus) Tincture, 100% Organic, 2 fl. oz.
    Huckleberry leaf is used by naturopathic physicians to treat sugar diabetes and ailments of the kidneys and gallbladder.

  • Stimulate the metabolism. Because the excessive sugars and fats in the blood stream can cause damage to the blood vessels, it is especially important for diabetics to maintain healthy circulation. Ensuring that all organs get enough oxygen is the only way to prevent complications, such as blindness, loss of kidney function and circulatory disease in the extremities. Blueberries and Hawthorn berries can help protect blood vessels from damage, too, just as keeping blood-sugar and cholesterol levels in check and stave off many complications. Regular use of saunas and hot baths can help stimulate the elimination of toxins from the body.


  • Blueberries for health. Blue and purple pigments, or anthocyanosides, are found in blueberries, bilberries and other fruits. Anthocyanosides improve circulation and help protect blood-vessel walls from damage. Use commercial capsules, drink unsweetened blueberry juice and eat fresh blueberries. You can freeze some for use during the winter months.


  • Juniper berries have been found to lower blood glucose levels.


  • Other herbs that may be beneficial for diabetes include Bilberry, Buchu, Dandelion root, Goldenseal, and Uva Ursi. CAUTION! Do not take goldenseal on a daily basis for more than one week at a time, and DO NOT USE IT DURING PREGNANCY. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.




    RECOMMENDATIONS

  • Opinions may differ as to the optimal ratio of dietary carbohydrates, proteins and fats for prevention and treatment of diabetes. However, it is safe to say that carbohydrates trigger the release of insulin. As more carbohydrates are consumed, more insulin is produced. The current epidemic of obesity and diabetes in the United States indicates that we are asking our bodies to burn the wrong fuel - refined carbohydrates in this case. It has been suggested by Dr. Gerald Reaven of Stanford University that a diet consisting of 45 percent complex carbohydrates, 40 percent "good" (polyunsaturated) fats, and 15 percent protein will benefit individuals with insulin resistance, the precursor to diabetes. It is estimated that as many as 70 to 80 million Americans may be affected by insulin resistance syndrome. Medications such as metformin (Glucophage) and rosiglitazone (Avandia) are prescribed to combat insulin resistance.

  • Eat a low-fat, high-fiber diet including plenty of raw fruits and vegetables as well as fresh vegetable juices. This reduces the need for insulin and also lowers the level of fats in the blood. Fiber helps to reduce blood sugar surges. For snacks, eat oat or rice bran crackers with nut butter or cheese. Legumes, root vegetables, and whole grains are also good. Remember to regulate your carbohydrate intake. See Hypoglycemic Diet for helpful dietary suggestions to prevent hypoglycemic episodes.


  • The types of carbohydrates consumed are at least as important as the total carbohydrate loading. High-glycemic foods such as white rice, white flour products, pasta, starchy vegetables, and many processed foods are quickly converted into blood sugar during digestion, causing insulin to go up. Carbohydrates found in lower glycemic foods such as asparagus, broccoli, cabbage, green beans, and low-starch vegetables and fruits are converted into blood sugar more slowly, which only gradually raises insulin levels. Avoiding "white foods" might be best.


  • Supplement your diet with spirulina. Spirulina helps stabilize blood sugar levels. Other foods that help normalize blood sugar include berries, brewer's yeast, dairy products (especially cheese), egg yolks, fish, garlic, kelp, sauerkraut, soybeans, and vegetables.


  • Herbal Remedies: Spirulina, 100% Organic, NOW Foods, 500 mg, 120 VCaps

    Herbal Remedies: Spirulina Powder, 100% Natural, NOW Foods, 1 lb.

    Herbal Remedies: Spirulina Natural, Earth Rise, 500 mg, 180 Tabs

    Herbal Remedies: Spirulina Natural Green Super Food For Longevity, Earth Rise, 500 mg, 360 Tabs

  • Get your protein from vegetable sources, such as grains and legumes. Fish and low-fat dairy products are also acceptable sources of protein. Kidney function in people with type 2 diabetes seems to benefit from dietary soy protein. This protein also raises the level of "good" cholesterol.


  • Herbal Remedies: Soy Protein, Unflavored, NOW Foods, 1 lb.

    Herbal Remedies: Soy Protein Isolate Powder, 1 lb.

  • Avoid saturated fats, trans-fats, hydrogenated or partially hydrogenated oils, and simple sugars (except when necessary to balance an insulin reaction). While total fat intake does not seem to change the risk of getting diabetes, the trans-saturated fats and hydrogenated oils found in most fast foods can greatly increase the risk. Beneficial fats and oils include extra virgin olive oil, fish oil, almond oil and butter, avocados, nuts and seed oils such as sesame, flax sunflower, and pumpkin.


  • Eat more complex carbohydrates or reduce your insulin dosage before exercise. Exercise produces as an insulin-like effect in the body. Talk to your health care provider about the right approach for you.

  • Type 2 diabetes can be controlled by diet and exercise alone, but oral medications or injections of insulin can be added if regulating the diet does not work. Obesity is a major factor in type 2 diabetes, and a weight reduction program is often all that is required to control it.


  • It was once thought that people with diabetes should avoid sweetened foods. For weight control, this is still the case. However, research has shown that sugar - a simple carbohydrate - does not cause the greatest increase in blood glucose. Eating baked potatoes or some breakfast cereals causes a greater rise in blood sugar. Indeed carrots raise blood sugar more than ice cream does. It is on this principle that many high-protein, low-carbohydrate diets are based. It is essential, therefore, that people with diabetes measure their intake of both simple and complex carbohydrates - not simply those coming from sugar.


  • MoonDragon's ObGyn Information: Obesity - Description Overview

    MoonDragon's ObGyn Information: Obesity - Herbal Suggestions For Weight Loss

    MoonDragon's ObGyn Information: Obesity - Holistic & Dietary Information

    MoonDragon's Nutrition Information: Diets - Weight Control Diet

    MoonDragon's Nutrition Information: Diets - Weight Loss Diet

  • Do not take fish oil capsules or supplements containing large amounts of para-aminobenzoic acid (PABA), and avoid salt and white flour products. Consumption of these products results in an elevation of blood sugar.

  • Eat more carbohydrates or reduce your insulin dosage before exercise. Exercise produces an insulin-like effect in the body. Discuss with your health care provider about the right approach for you.


  • A higher magnesium intake lowers the risk of getting type 2 diabetes. The journal Diabetes Care published a study in which overweight women who consumed large amount of magnesium were 22 percent less likely to develop type 2 diabetes than women who consumed lower amounts. A diet rich in nuts, whole grains, and vegetables that are high in magnesium may be beneficial.


  • Do not take supplements containing amino acid cysteine. It has the ability to break down the bonds of the hormone insulin and interferes with absorption of insulin by the cells.


  • Do not take extremely large doses of vitamins B-1 (thiamine) and C. Excessive amounts may inactivate insulin. These vitamins may, however, be taken in normal amounts. See Nutrient Table for recommendations.


  • If symptoms of hyperglycemia develop, go to the emergency room of the nearest hospital or medical center. This is a potentially dangerous situation. Intravenous administration of proper fluids, electrolytes, and insulin may be required.


  • Avoid taking large amounts of vitamin B-3 (Niacin). However, small amounts (50 to 100 milligrams daily), taken by mouth, may be beneficial. In one study, large amounts of niacin raised blood sugar levels in people with non-insulin-dependent diabetes by as much as 16 percent. Over time, this could cause dependence on insulin or medication. Niacin can also cause the level of uric acid in the blood to rise, indicating probable kidney dysfunction and an increased risk of gout. However, niacinamide, a form of niacin, shows down the destruction and enhances the regeneration of the insulin-producing beta cells in the pancreas, and therefore may be helpful for those with type I diabetes.


  • Chromium deficiency may be a key player in the type 2 diabetes problem. In addition, chromium may help improve body composition - that is, the ratio of fat to muscle. Chromium is not generally available in plant foods as plants have no requirement for it and thus do not concentrate it. Brewer's yeast, beer, whole grains, cheese, broccoli, and meat are good dietary sources, but not all are good choices for people with diabetes. Inorganic forms of chromium are poorly absorbed. Chromium picolinate is an effective organic form that is readily available as a supplement. See Nutrient Table for dosage and details.


  • Many nutrients recommended for people with diabetes are available in combination supplements. One company that produces a line of specialty supplements for people with diabetes is Progressive Research Labs of Houston.




  • If you have a child with diabetes, be sure his or her teacher knows how to respond to the warning signs of hypoglycemia and hyperglycemia.


  • If symptoms of hypoglycemia develop, immediately consume fruit juice, soda pop, or anything else that contains sugar. If that fails to help within 20 minutes, repeat this regimen. If the second treatment fails, or if you cannot ingest food, seek immediate medical attention and/or administer a glucagon injection. Anyone who has insulin-dependent diabetes should always carry a glucagon kit and know how to use it.


  • MoonDragon's Nutrition Information: Diets - Hypoglycemic Diet

  • Avoid tobacco in any form. It constricts the blood vessels and inhibits circulation. Keep your feet clean, dry, and warm, and wear only white cotton socks and well-fitting shoes. Lack of oxygen (because of poor circulation) and peripheral nerve damage (with loss of pain sensation) are major factors in the development of diabetic foot ulcers. Try to avoid injury, and take measures to improve the circulation in the feet and legs. See Circulatory Problems.

  • Alcohol now and then may help. A growing body of evidence links moderate alcohol consumption with reduced risks of heart disease. The same may be true for type 2 diabetes. Moderate amounts of alcohol-a drink a day for men, a drink every other day for women-increases the efficiency of insulin at getting glucose inside cells. And some studies indicate that moderate alcohol consumption decreases the risk of type 2 diabetes. (4, 14) If you already drink alcohol, the key is to keep your consumption in the moderate range. If you don't drink alcohol, there's no need to start-you can get the same benefits by losing weight, exercising more, and changing your eating patterns.




  • Chromium Picolinate:
    A Complementary Nutritional Therapy for Diabetes


    Chromium picolinate is a nutritional supplement that can help control diabetes. As the name implies, it is a combination of two different substances: chromium and picolinate. Chromium is a mineral that helps to increase the efficiency of insulin, the hormone that controls blood glucose (blood sugar) levels; picolinate is an amino acid derivative that allows the body to use chromium much more readily.

    The shape of individual insulin molecules is important to the hormone's effectiveness. If the molecules maintain their proper shape, the insulin can effectively transport glucose into the cells, where it is needed. Without chromium, insulin molecules become misshapen, and can no longer serve as an effective transportation system, glucose builds up in the bloodstream, starting a chain reaction that eventually leads to diabetes.

    Scientists have long known that chromium is a vital nutrient, but not until chromium was combined with picolinate was a truly effective means of providing supplemental chromium developed. In the body, chromium takes the form of an ion, a particle with an electrical charge. This charge is repelled by the body's cells, making it difficult for chromium to enter the cells. Picolinate is a chelator, a substance that can bind with an ion and neutralize its charge. Once chromium and picolinate join together, the chromium's repellant charge is done away with. The body's cells then are able to accept the chromium.

    The effectiveness of chromium picolinate has been tested on individuals with a number of different health problems, including diabetes. Research shows that most people with diabetes experience a decline in blood glucose levels after they start taking daily chromium picolinate supplements. As a result, it is believed that chromium picolinate may be able to help many people with diabetes (especially type II diabetes) to control their blood sugar levels. This in turn would allow them to cut back on their intake of insulin and other drugs, likely resulting in fewer side effects. Furthermore, since improving the action of insulin also helps the body to use fat as a fuel, chromium picolinate can help reduce obesity. This means that it may enable some people with type II diabetes to lose enough weight to stop taking drugs entirely.

    However, it is not recommended that people with diabetes simply go out and buy chromium picolinate supplements and start taking them. Anyone who has diabetes, especially type I diabetes, must exercise caution with this supplement. Its effects on insulin requirements are very real. Blood sugar levels must be monitored carefully and the appropriate dosages of insulin and/or other drugs adjusted as needed in response. Otherwise, a potentially dangerous insulin reaction may occur as a result of too little glucose in the blood.

    Anyone interested in using chromium picolinate for the treatment of diabetes should first seek the advice of a qualified health-care provider, preferably a nutritionally oriented practitioner who has experience in this area.

    Herbal Remedies: Chromium / Glucose Tolerance Factor (GTF) / Chromium Polynicotinate Information

    Herbal Remedies: ChromeMate, Biologically Active, Niacin Bound Chromium Complex, NOW Foods, 180 Caps
    NOW ChromeMate contains a unique patented niacin-bound chromium complex. Chromium is an essential trace mineral that works with insulin to support healthy blood glucose levels and plays an important role in the proper utilization of protein, fat and carbohydrates.

    Herbal Remedies: Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
    WaterOz Ionic Chromium is a pure liquid chromium supplement. Chromium helps the body regulate metabolism, regulate insulin and blood sugar levels, helps the body lose weight by stimulating enzymes that metabolize glucose, burns fat. Chromium deficiencies may contribute to Infertility and decreased sperm count.

    Herbal Remedies: Chromium Picolinate, 100% Natural, Nature's Way, 200 mcg, 100 Caps
    Nature's Way Chromium Picolinate is 100 percent natural, patented Chromium Picolinate.

    Herbal Remedies: Chromium Picolinate, NOW Foods, 200 mcg, 100 Caps
    Chromium is an essential trace mineral that works with insulin to support healthy blood glucose levels and plays an important role in the proper utilization of protein, fat and carbohydrates. Chromium helps insulin to metabolize fat, turn protein into muscle and convert sugar into energy.






    NUTRITIONAL SUPPLEMENTS

    Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose.

    NUTRIENTS
    Supplement Suggested Dosage Comments
    Very Important
    Alpha-Lipoic Acid As directed on label. For treatment of peripheral nerve damage in diabetic patients. Helps control blood sugar levels.
    Alpha Lipoic Acid, NOW Foods, 250 mg, 60 Caps
    Chromium Picolinate 400-600 mcg daily. Improves insulin's efficiency, which lowers blood sugar levels. Caution: If you have diabetes, consult with your health care provider before taking any supplement containing chromium.
    Chromium Picolinate, NOW Foods, 200 mcg, 100 Caps,
    Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
    ChromeMate, Biologically Active, Niacin Bound Chromium Complex, NOW Foods, 180 Caps
    Or
    Diabetic Nutrition Rx
    (Progressive Research Labs)
    As directed on label. A combination of chromium picolinate, vanadyl sulfate, and other vitamins and minerals that work synergistically to regulate blood sugar levels and correct deficiencies. Caution: If you have diabetes, consult with your health care provider before taking any supplement containing chromium.
    Or
    Brewer's Yeast
    (With Added Chromium)
    As directed on label. An excellent source of protein and several B-vitamins. Take with chromium supplement.
    Brewer's Yeast, Debittered, NOW Foods, 1 lb.,
    Brewer's Yeast, NOW Foods, 650 mg, 200 Tabs
    Garlic (Kyolic) As directed on label. Decreases and stabilizes blood sugar levels. Enhances immunity and improves circulation.
    L-Carnitine 500 mg twice daily, on an empty stomach. Take with water. Do not take with milk. Take with 50 mg vitamin B-6 and 100 mg vitamin C for better absorption. Mobilizes fat.
    L-Carnitine, Stable Tartrate Form, NOW Foods, 500 mg, 60 Caps,
    L-Carnitine Liquid, Double Strength, NOW Foods, 16 fl. oz.
    Plus
    L-Glutamine
    500 mg twice daily, on an empty stomach. Take with water. Do not take with milk. Reduces the craving for sugars.
    L-Glutamine, Amino Acid Supplement, NOW Foods, 500 mg, 120 Caps,
    L-Glutamine Powder, 100% Pure Free Form Amino Acid & GH Releaser, Vegetarian, NOW Foods, 1 lb
    Plus
    Taurine
    500 mg twice daily, on an empty stomach. Take with water. Do not take with milk. Aids in the release of insulin.
    Taurine, Free Form, NOW Foods, 500 mg, 100 Caps
    Quercetin
    (Activated Quercetin)
    (Quercetin-C)
    100 mg 3 times daily. Helps protect the membranes of the lens of the eye from accumulations of polyols as a result of high glucose levels.
    Raw Adrenal Glandular
    And
    Raw Pancreas Glandular
    And
    Thyroid Glandular
    As directed on labels. Aids in rebuilding and nourishing these organs. See Glandular Therapy.
    Pancreas (Beef), Organic Glandular, Hypoallergenic, Allergy Research Group / Nutricology, 90 Caps,
    Adrenal, Organic Glandular, Hypoallergenic, Allergy Research Group / Nutricology, 75 Caps,
    Vanadium As directed on label. Aids insulin's ability to move glucose into the cells. Use vanadyl sulfate form.
    Vanadium Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Vitamin B Complex 50 mg of each B vitamin daily, with meals 3 times daily (amounts of individual vitamins in a complex will vary). Do not exceed 300 mg daily from all supplements. B vitamins work best when taken together.
    Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
    Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 Caps
    Plus Extra
    Biotin
    5-50 mg (5,000-50,0000 mcg) daily. Improves the metabolism of glucose. Biotin does not appear to have any toxic levels when taken at high doses. Studies have been done with doses between 5 mg (5,000 mcg) to 15 mg (15,000 mcg) daily. Biotin is not known to be toxic. Oral biotin supplementation has been well-tolerated in doses up to 200 mg/day in people with hereditary disorders of biotin metabolism. In people without disorders of biotin metabolism, doses of up to 5 mg/day for two years were not associated with adverse effects.
    Biotin Coenzyme, 100% Natural, Nature's Way, 1000 mcg, 100 Sublingual Lozenges,
    And
    Inositol
    50 mg daily. Important for circulation and for prevention of atherosclerosis.
    Inositol (Vitamin B-8), 100% Natural, Pure Crystalline, Nature's Way, 500 mg, 100 Caps
    Vitamin B-12 As prescribed by health care provider or directed on label. Needed to prevent diabetic neuropathy. Injections (under a health care provider's supervision) are best. If injections are not available, use a lozenge or sublingual form.
    Vitamin B-12 Complex Liquid, NOW Foods, 2 fl. oz.,
    Vitamin B-12, Nature's Way, 2000 mcg, 100 Sublingual Lozenges,
    Vitamin B-12 Liquid Supplement, 50 mcg, With Vitamin B-9 (Folic Acid), 400 mcg, 1 oz.
    Vitamin B-12, California Natural, 1000 mcg, 60 Tabs,
    Vitamin B-12 LipoSpray, NOW Foods, 2 fl. oz.
    Zinc 50-80 mg daily. Do not exceed a total of 100 mg daily from all supplements. Deficiency has been associated with diabetes. Use zinc gluconate lozenges or OptiZinc for best absorption.
    Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
    Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
    Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
    Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 Caps
    Very Important
    Coenzyme Q-10 80 mg daily. Improves circulation and stabilizes blood sugar.
    CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps,
    CoQ10, Now Foods, 400 mg, 60 Softgels
    Coenzyme A As directed on label. Facilitates the repair of RNA and DNA. Supports the immune system's detoxification of many dangerous substances. Can streamline metabolism, ease depression and fatigue, and increase energy. Works well with CoQ10.
    Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels
    Magnesium 750 mg daily. Important for enzyme systems and pH balance. Protects against coronary artery spasm in arteriosclerosis.
    Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
    Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
    Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 Caps
    Manganese 5-10 mg daily. Take separately from calcium. Needed for repair of the pancreas. Also a cofactor in key enzymes of glucose metabolism. Deficiency is common in people with diabetes.
    Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm, 16 fl. oz.,
    Psyllium Husks
    Or
    Aerobic Bulk Cleanse (ABC)
    (Aerobic Life Industries)
    As directed on label. Take with a large glass of water. Take separately from other supplements and medications. Good fiber source and fat mobilizer.
    Psyllium Husk, Nature's Way, 525 mg, 180 Caps,
    Psyllium Husk Powder, NOW Foods, 100% Pure, vegetarian, 24 oz.,
    Important
    Vitamin A 15,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. An important antioxidant needed to maintain the health of the eyes. Use emulsion form for the best absorption.
    Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 Softgels
    Plus
    Natural Beta-Carotene
    Or
    Carotenoid Complex (Betatene)
    25,000 IU daily.

    As directed on label.
    An antioxidant and precursor of vitamin A. Needed by all cells for repair and rebuilding. Important antioxidant needed to maintain the health of the eyes.
    Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
    Multi-Carotene Antioxidant, Nature's Way, 60 Softgels
    Vitamin C With Bioflavonoids 3,000-6,000 mg daily, in divided doses. Essential in immune function and tissue repair. Deficiency may lead to vascular problems in people with diabetes.
    Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
    Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
    Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
    The Right C, Nature's Way, 1000 mg, 120 Tabs
    Vitamin E 200-400 IU daily. Improves circulation and prevents complications through its antioxidant properties. Use d-alpha-tocopherol emulsion form for easier assimilation and greater safety at higher doses.
    Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
    Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
    Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
    Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
    Helpful
    Calcium 1,500 mg daily. Important for pH balance.
    Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
    Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
    Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 Gelcaps
    Copper Complex As directed on label. Aids in protein metabolism and in many enzyme systems.
    Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl oz.,
    Maitake 1-4 g (1,000-4,000 mg) daily. Maitake mushroom extract may help to normalize blood sugar levels.
    Maitake Mushroom, Whole, 100% Organic, 4 oz.,
    Maitake Mushroom Powder, 100% Organic, 4 oz.,
    Maitake Full Spectrum Extract, 300 mg, 90 VCaps
    Multi-Enzyme Complex
    Plus
    Proteolytic Enzymes
    As directed on label. Take with meals. To aid digestion. Proper digestion is essential in management of diabetes.
    Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps,
    Enzymes, All Complete, 250 mg, 90 Caps,
    MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs
    Pantethine As directed on label. A form of pantothenic acid that reduces LDL cholesterol and helps prevent buildup in the arteries.
    Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, NOW Foods, 300 mg, 60 Softgels
    Pycnogenol
    Or
    Grape Seed Extract
    As directed on label.

    As directed on label.
    Contains powerful antioxidants that also enhance the activity of vitamin C and strengthens connective tissue, including that of the cardiovascular system.
    Pycnogenol W/ Vitamin E, 100% Natural, Nature's Way, 50 mg, 30 Tabs, Grape Seed (Grapeseed) (Vitus vinifera), 100% Pure, NOW Foods, 16 fl. oz.
    Spirulina
    Or
    Spiru-tein from Nature's Plus
    As directed on label. Take between meals. To supply protein, needed to build and repair tissue. Also acts as an appetite stimulant.
    Spirulina, 100% Organic, NOW Foods, 500 mg, 120 VCaps,
    Spirulina Powder, 100% Natural, NOW Foods, 1 lb.
    Spirulina Natural, Earth Rise, 500 mg, 180 Tabs,
    Spirulina Natural Green Super Food For Longevity, Earth Rise, 500 mg, 360 Tabs


    DIABETES SUPPLEMENTAL PRODUCTS

    Information, products and supplements for diabetes, a disease of the pancreas related to the release of insulin into the blood stream. Consult with your health care provider or midwife before taking any nutritional supplement or changing your dietary/medicational plan. Please note that some of these products may not be recommended for use during pregnancy. Be sure to read product descriptions carefully before using.

    Alfalfa Leaf Root Powder (Medicago Sativa), Kosher, 4 oz. Bulk

    Alfalfa's (Medicago sativa) deep root system pulls valuable minerals from the soil. With the aid of sunlight, nutrients including beta carotene and chlorophyll are made available to the body in a usable form.
    All Natural Travel Size Stevia Sweetener, SteviaClear Liquid, 6 ml, 60 servings

    Stevia Sweetener an all natural, no calories, no carbs, no bitter aftertaste, with endless uses sweetener.
    Aloe Vera Concentrate, NOW Foods, 100% Organic, 4 oz.

    This liquid aloe vera concentrate is made from organic aloe leaves that are processed in a certified organic processing plant.
    Aloe Vera Juice, Pure Aloe Force, Organically Grown, Unprocessed, Whole Raw Aloe Vera, 33.8 fl. oz.

    The magnificent Aloe plant, that is designed to be self-sufficient & thrive in the desert, feeds us in unique ways with its 250+ naturally occurring constituents including: enzymes, amino acids, essential fatty acids, vitamins, minerals, glycoproteins, sterols, growth factors, & all sizes of uniquely complex Aloe polysaccharides and mannans.
    Aloe Vera Juice, Herbal Aloe Force, Organically Grown, Unprocessed, Whole Raw Aloe Vera, 33.8 fl. oz.

    Herbal Aloe Force Re-Natures the cells, tissues, glands, organs and all systems of the body to function as originally designed.
    Alpha Lipoic Acid W/ Rosemary, Nature's Way, Pharmaceutical Grade, 50 mg, 60 Caps

    Alpha Lipoic Acid is central to recycling other antioxidants like Vitamin E, Vitamin C, and GSH glutathione. By "sparing" their destruction, Alpha Lipoate extends their antioxidant power. Being both water and fat soluble, lipoic acid is the "universal" antioxidant that can easily function in both cellular membranes and fluid media within and outside the cell.
    Alpha Lipoic Acid, NOW Foods, 250 mg, 60 Caps

    Alpha-Lipoic Acid is a versatile water and fat soluble metabolic antioxidant. Another benefit is that it also acts as a potent free radical quencher and aids other vitamins in their antioxidant activities.
    American Ginseng Root Candy, Prince of Peace, 5.3 oz.

    American Ginseng, an adaptogen with yin properties that has a sedative effect on the central nervous system.
    American Ginseng Whole Root, 4 oz. Bulk

    Ginseng is considered to be the &King of all Tonics; as it provides stimulation to the entire body for stress, fatigue, weakness, and deficiencies. It stimulates and improves the brain cells and is especially stimulating for mental fatigue.
    Appetite Suppressor RX, 60 Tabs

    Nature's Rx Appetite Suppressor Rx is the comprehensive appetite suppressant diet supplement which is all natural, stimulant free containing no ephedra, caffeine or other dangerous stimulants.
    Astragalus Root Tincture, 100% Organic, 2 fl. oz.

    Astragalus root is used to stimulate the immune system and astragalus root improves adrenal gland function and digestion.
    Basil Essential Oil, 100% Pure, NOW Foods, 1 fl. oz.

    Basil Essential Oil is one of a collection of NOW essential oil products that we carry.
    Bean Pod Tincture, 2 fl. oz.

    Bean Pod contains amino acids and enzymes. It gradually aids the pancreas to produce insulin.
    Bhumy Amalaki Powder (Phyllanthus Niruri), 100% Organic, 8 oz. Bulk

    Bhumy Amalaki is employed for numerous conditions including blennorrhagia, colic, diabetes, dysentery, fever, flu, tumors, jaundice, vaginitis, and dyspepsia.
    Black Seed With Bitter Melon, Amazing Herbs, 100 Caps

    Amazing Herbs Black Seed Capsules with Bitter Melon is a high potency diabetic supplement.
    Blood Sugar Balance Wellness Oil, 2 fl. oz.

    Blood Sugar Balance Wellness Oil was designed to lower your blood sugar naturally.
    Blood Sugar Formula w/ Gymnema Extract, Nature's Way, 90 Caps

    Contains GTF Chromium part of an important cofactor for insulin as well as other herbs and minerals used in support of healthy blood sugar levels. This formula represent the powerful synergy of current scientific research and traditional herbal medicine.
    Blue Cohosh Powder (Caulophyllum Thalictroides), 4 oz. Bulk

    Blue Cohosh is used to regulate the menstrual flow and for treating suppressed menstruation. Do not take during pregnancy unless instructed by your midwife or health care provider.
    Blue Cohosh Tincture, 100% Organic, 2 fl. oz.

    Blue Cohosh is used to regulate the menstrual flow and for treating suppressed menstruation. Do not take during pregnancy unless instructed by your midwife or health care provider.
    Borage Dry Skin Therapy Foot Cream, ShiKai, 4.2 oz.

    ShiKai Borage Dry Skin Therapy relieves dry cracked skin in days. It is clinically proven, dermatologist recommended and fragrance free.
    Buchu Leaves Tincture, 100% Organic, Alternative Health & Herbs Remedies, 2 fl. oz.

    Buchu leaves act as a diuretic and antiseptic, and today is used in treating inflammation of the urethra, blood in the urine, bladder infections, and other chronic urinary tract disorders.
    Cat's Claw Bark Powder (Uncaria Tomentosa), 4 oz. Bulk

    Cat's Claw Bark, Uncaria tomentosa, was reputed to be a super drug in the Andean region of South America. It has a long history of indigenous use for arthritis and rheumatism as well as other types of inflammation associated with various stomach disorders and ulcers where it was clinically shown to be effective.
    Cat's Claw Extract, Standardized, Nature's Way, 335 mg, 60 Caps

    Nature's Way Cat's Claw extract, also known as Una de Gato is derived from the bark of plants wild-harvested in Peru and Brazil.
    Cellfood Natural Weight Loss Formula, 4 fl. oz.

    Cellfood Natural Weight Loss Formula, with amino acids, electrolytes, digestive enzymes, and minerals helps regulate metabolism and breakdown organic material, while increasing your fat burning potential... even while you sleep!
    Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.

    WaterOz Ionic Chromium is a pure liquid chromium supplement. Chromium helps the body regulate metabolism, regulate insulin and blood sugar levels, helps the body lose weight by stimulating enzymes that metabolize glucose, burns fat.
    Chromium Picolinate, 100% Natural, Nature's Way, 200 mcg, 100 Caps

    Nature's Way Chromium Picolinate is 100 percent natural, patented Chromium Picolinate. It contains no artificial ingredients or preservatives.
    Cinnamon Bark (Cinnamonum Verum), NOW Foods, 600 mg, 240 Caps

    Experiments conducted by the USDA have shown that this - the variety we call "True Cinnamon" can lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to 20%.
    Chlorella Green Algae, Nature's Way, 410 mg, 100 Caps

    Green Algae Chlorella is helpful as a support for long-term debilitating systemic conditions which lower energy and resistance; such as diabetes, arthritis, high blood pressure, allergies, and infections.
    Coconut Cures, By Bruce Fife, N.D.

    Discover the amazing health benefits of coconut meat, milk, water and oil. Learn how to use coconut to prevent heart disease, balance blood sugar and control diabetes, protect against cancer, lose excess body fat and more.
    Completia Diabetic Multi-Vitamin, Iron Free, Nature's Way, 60 Tabs

    Nature's Way Completia Diabetic Supplement supports the nutritional needs of individuals with diabetes and the related blood support needed.
    Coral Calcium Complex Liquid, 100% Pure Okinawan, Dynamic Health, 32 fl. oz.

    Coral Calcium liquid provides valuable marine nutrients.
    Coral Calcium (Okinawa) Plus w/ Magnesium & Vitamin D, 100% Natural, NOW Foods, 500 mg, 100 VCaps

    Okinawa Coral Calcium Plus with Magnesium, Vitamin D and 70 other trace minerals provides essential minerals, restores body alkalinity, supports the immune system, and is bio available for better absorption.
    Dandelion Root Powder (Taraxacum Officinale), 4 oz. Bulk

    Dandelion root is known as a Blood purifier used for liver and kidney disorders. Dandelion root also contains nutritive salts to build up the blood.
    DHEA (Dehydroepiandrosterone), Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 25 mg, 180 Caps

    DHEA (Dehydroepiandrosterone) is the most abundant steroid in the blood stream produced mainly in the adrenal glands. DHEA is the biochemical building blocks for the synthesis of other hormones.
    DHEA (Dehydroepiandrosterone), Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 50 mg, 180 Caps

    DHEA may be used for immune system dysfunction, heart disease, diabetes, obesity, osteoporosis, arthritis, anti-aging and auto-immune diseases.
    Diabetes Extract Formula Tincture, 2 fl. oz.

    Truman's Diabetes Tea is targeted to enable the pancreas to produce its own insulin and to bring blood sugar levels to a safe range of somewhere between 110-140 without additional medication.
    Diabetes Formula Tincture, 100% Organic, 2 fl. oz.

    This diabetic formula may help to decrease the amount of insulin required by the individual.
    Diabetic Foot Bath Oil, With Organic Alpine Herbs, (Oel Fussbad), 100 ml

    This Diabetic Foot Oil Bath, is an ideal cleanser and moisturizer for dry, calloused, sensitive skin.
    Diabetic Insulin Support Tincture, 100% Organic, 2 fl. oz.

    The Diabetic Insulin Support formula provides synergistic support for the adrenals, kidneys and pancreas and may help those with insulin dependent diabetes.
    Dr. Atkin's Health Revolution

    Powerful and forthright, Dr. Atkins' Health Revolution calls for dramatic changes in the way medicine is practiced in America.
    Dr. Atkin's New Diet Revolution

    Dr. Atkins has fully revised and updated his Atkins low carbohydrate diet book to take into account new information gained over the years treating tens of thousands over weight patients; plus critical new research findings about cholesterol and obesity.
    Eat More, Weight Less: Dr. Dean Ornish's Life Choice Program For Losing Weight Safely While Eating Abundantly, By Dean Ornish, M.D.

    You really can eat more and weigh less if you know what to eat with Eat More, Weigh Less by Dr. Dean Ornish. As this groundbreaking book, a NEW YORK TIMES BEST SELLER, clearly shows it's not just how much you eat it's primarily what you eat.
    Elderberry Juice Concentrate, 12.5 fl. oz.

    Elderberry Juice Concentrate is a Non-Alcoholic source for the health benefits of Elderberries. A medically proven strong anti-viral and immune system enhancer, elderberry is recommended as part of a health maintenance program.
    Enzyme PhytoNutrient (EPN) Ionic Supplement, Fully Absorbable, 16 fl. oz.

    WaterOz Ionic EPN is a pure liquid enzyme supplement. EPN complex is a patent-pending enzyme phytonutrient from a plant source that provides enzyme and saccharides necessary for optimal cellular communication.
    Eros RX Ultra Sex Drive Enhancer, 60 Tabs

    Formulated to enhance nutritional support for the male and female sex drive. Eros Rx is the most complete sex drive formula on the market. Key ingredients include Arginine, Muira Puama, Yohimbe Extract, Taurine, Tunera Aphrodisiaca, Deer Antler, Saw Palmetto and other nutrients essential for the promotion of good sexual health and stamina.
    Every Day Garlic Supplement, Kwai, 30 Tabs

    Kwai Every Day. Safety & Effectiveness. Kwai Every Day is recognized in the world's foremost medical journals because Kwai has the quality and the research to prove its effectiveness and safety. Kwai Every Day is the most scientifically proven and professionally recommended garlic supplement with allicin in the world.
    Fenugreek Seed, Certified, Nature's Way, 610 mg, 180 Caps

    Fenugreek seed is used around the world as a culinary spice and food that is soothing to the stomach.
    Fenugreek Seed Powder (Trigonella Foenum Graecum), 4 oz. Bulk

    Fenugreek seed's steroidal saponins account for many of its beneficial effects, particularly the inhibition of cholesterol absorption and synthesis.
    Flavored Sweetleaf Stevia Liquid Trial Tin, 4 Flavors, 6 ml. Per Bottle

    Now you can stay sweet and flavorful on-the-go with this handy travel tin with four 6ml squeeze bottles of their most popular flavors: Chocolate Raspberry, Lemon Drop, Vanilla Creme, and Valencia Orange.
    Flax Protein / Fiber / Lignan Cold Milled Powder Plus Omega 3, Certified Organic, Nature's Way, 16 oz.

    With 6 g Fiber/300 mg Lignan/5 g Protein (including 18 amino acids) per serving, Nature's Way EFAGold is one of nature's richest sources of protein, fiber & essential fatty acids.
    Flax Seed Oil Super, Cold Pressed, 100% Organic, 20% Lignan, Nature's Way, 16 fl. oz.

    Super Lignan Flax Seed Oil is a rich, vegetarian source of omega-3 and omega-6 essential fatty acids beneficial for many ailments.
    Flax Seed, Whole, Certified Organic, 1 lb. Bulk

    Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid.
    Flor Essence Tea, Truman's Best, Loose Leaf, 8 oz.

    The Essiac Report states that this is the improved version of Rene Cassie's, famous cancer, C.F.S. (Chronic Fatigue Syndrome) ,Psoriasis, Diabetes, HIV Infection/Aids cure. Used for all virus infections
    Garlicin Cholesterol Control, Odor Free, Nature's Way, 350 mg, 90 Enteric-Coated Tabs

    In clinical studies garlic has been shown to lower serum cholesterol and help maintain circulatory efficiency. The greatest effect resulted from garlic products with standardized amounts of allicin release in doses of 5,000 mcg per day.
    Garlic Tincture, 100% Organic, 2 fl. oz.

    The Europeans use garlic as an all-around treatment for preventing atherosclerosis, the cause of heart disease and strokes.
    Get A Grip On Arthritis & Other Inflammatory Disorders, By Lorna R. Vanderhaeghe

    Get a Grip on Arthritis and Other Inflammatory Disorders arms you with knowledge of natural relief for the pain, swelling and destruction that inflammation causes in the body.
    Ginkgo Biloba Extract Standardized, Nature's Way, 60 mg, 120 VCaps

    Nature's Way Ginkgo biloba extract is a technically and scientifically advanced herbal extract standardized to 24% Ginkgo flavone glycosides and 6% terpene lactones, supported by whole Gotu Kola herb. Supports circulation to the brain as well as the extremities. This is achieved by maintaining healthy blood vessel tone and reducing blood viscosity. Additionally, Ginkgo biloba is a proven free radical scavenger and antioxidant.
    Glucomannan (Konjac Fiber), Nature's Way, 665 mg, 180 Caps

    Nature's Way Glucomannan (Amorphophallus konjac fiber) is a 100% dietary fiber source obtained from the root of the konjac plant.
    Glucozene-RX, Blood Sugar Supplement, Hi-Tech, 90 Caps

    Glucozene-RX Blood Sugar Supplement is a state-of-the-art herbal alternative that regulates glucose and sugar levels.
    GlyMordica Bitter Melon, 100% Natural, 450 mg, 60 Caps

    Bitter melon is one of the few agents which has the potential to bolster a flagging pancreas. It has been recommended by the Department of Health of the Philippines as one of the best herbal medicines for it's ability to help with liver problems, Diabetes and HIV. It is an excellent natural remedy for the common cold.
    GTF Chromium Polynicotinate, Nature's Way, 200 mcg, 100 Caps

    Nature's Way GTF Chromium polynicotinate is the patented ChromeMate polynicotinate form. Chromium polynicotinate meets all the requirements for GTF. It contains no artificial ingredients or preservatives.
    Guarana Seed Powder, Alternative Health & Herbs, 4 oz.

    Guarana is a creeping shrub native to the Amazon (and particularly the regions of Manaus and Parintins). In the lushness of the Brazilian Amazon where it originates, it often grows to 12 meters high. The fruit is small, round, bright-red in color, and grows in clusters. As it ripens, the fruit splits and a black seed emerges - giving it the appearance of an "eye" about which Indians tell legends.
    Gymnema Extract, Standardized, Nature's Way, 260 mg, 60 Caps

    Gymnema Extract is standardized to 75% gymnemic acids and Gymnema is a traditional Ayurvedic medicine and is referred to as destroyer of sugar because chewing the leaves blocks the taste of sweetness.
    Gymnema Sylvestre Extract Herb Tincture, Herbal Remedies USA, 2 fl. oz.

    Gymnema Sylvestre Extract is most used for diabetes, hypoglycemia, and as a digestive tonic. Used for weight reduction, to help prevent tooth decay, and restore pancreatic function.
    Gymnema Sylvestre Tincture, 100% Organic, 2 fl. oz.

    For diabetes, hypoglycemia, and as a digestive tonic. Used for weight reduction, to help prevent tooth decay, and restore pancreatic function. Helps to block the absorption of sugar in the digestive tract.
    Heather's Tummy Fiber, Organic Acacia Powder, Heather's Tummy Care, 1 lb.

    Heather's Tummy Fiber Supplement Acacia is a natural, pure, certified organic, soluble dietary fiber produced from the gum of the Acacia tree (also known as gum arabic). Acacia is a natural plant water-soluble fiber that has been harvested for millennia in Africa; its recorded dietary use dates back to the Egyptian pharaohs.
    How To Prevent & Treat Diabetes With Natural Medicine

    This diabetes book is a comprehensive and user-friendly guide to defeating one of the fastest growing health problems provides.
    Huckleberry (Vaccinium myrtillus) Tincture, 100% Organic, 2 fl. oz.

    Huckleberry leaf is used by naturopathic physicians to treat sugar diabetes and ailments of the kidneys and gallbladder.
    Insulin Health X-Factors, Blood Sugar Supplement, 60 Tabs

    Insulin Health X-Factors is a revolutionary cutting edge dietary supplement specifically designed to support healthy insulin metabolism as well as cardiovascular function.
    Kidney / Bladder Formula Tincture, 2 fl. oz.

    Use the Kidney Bladder Formula for Auto-immune Diseases, Bladder, Cancer, Cold Sores and deposits.
    L-Glutamine, 100% Pure Powder, Free Form Amino Acid & GH Releaser, Vegetarian, NOW Foods, 1 lb.

    L-Glutamine is an important amino acid and natural Growth Hormone Releaser that helps brain function, and may be used for combating effects of alcoholism, alleviating hypoglycemia, fatigue reduction, improving exercise endurance, benefiting the liver and intestines, maintaining a healthy gastrointestinal tract, and strengthening the immune system.
    Lick The Sugar Habit, By Nancy Appleton, Ph.D.

    Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more.
    Liquid Flavored Sweetleaf Stevia, 4 Flavored Stevia Bottles, 6 ml, 60 servings each

    Flavored Sweetleaf Stevia has Four exciting All Natural, Zero Cal, Zero Carb, Zero Glycemic index - Flavored Stevia bottles at an exciting value of only one penny per drop.
    Manuka Honey, Active UMF 10+, 375 g

    Comvita Active UMF 10+ Manuka Honey contains a high level of antibacterial activity not found in other honeys. For digestive health and to assist the digestive process.
    Milk Thistle Seed Powder, 4 oz. Bulk

    Milk thistle extract is most commonly recommended to counteract the harmful actions of alcohol on the liver.
    Momordica Tincture, 100% Organic, 2 fl. oz.

    It has been suggested that Bitter Melon, Momordica, has anti-tumor and antiviral actions. MAP 30 is a protein found in Bitter Melon that is believed to have multiple functions that could be beneficial in treating HIV infection.
    Multi-Vitamin & Multi-Mineral for Diabetics, Completia Diabetic Vitamin Formula, Iron Free, All Natural, Nature's Way Vegetarian, 90 Tabs

    Twice daily multivitamin formula for diabetics, with Alpha Lipoic Acid, Fenugreek and GTF Chromium for daily support. Specially balanced nutritional supplement. Extra support with Alpha Lipoic Acid, Chromium, L-Carnitine, Quercetin Taurine and Vanadium. Plus an herbal blend of Fenugreek, Cinnamon and Neem.
    Natural Calm Anti-Stress Drink Packets, Peter Gillham's Natural Vitality, 30 Packets

    Natural Calum is used by over 1,000 health care providers and clinics nationwide with great success.
    Natural Calm Magnesium Supplement, Peter Gillham's Natural Vitality, 8 oz.

    What makes Natural Calm Magnesium Supplement so special over other forms of magnesium supplements is that it is water soluble and assimilates instantly and thoroughly, and works even in cases of highly impaired digestion.
    Natural Cures, Updated Edition "They" Don't Want You To Know About, By Kevin Trudeau

    Learn how the food industry is purposely putting secret chemical ingredients in the food that can cause you to become hungrier, become fat, and become physically addicted, and not listing them on the label.
    Naturally Sweet Natural Sweetener, Hi-Tech, 100 Packets

    Naturally Sweet is a delicious new sugar substitute that tastes and cooks like sugar, is tooth friendly and contains pre-biotic fiber, which assists in healthy digestion.
    Natural Treatments For Diabetes, By R. N. Ellsworth

    This Book offers essential information on the types of diabetes and symptoms, as well as dietary recommendations, and current research.
    Noni Juice, Trace Minerals, 32 fl. oz.

    Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health and Body Mineral Balancing.
    NOW Foods, Stevia Extract Powder, 100 packets / Box

    This Stevia Extract Powder is a Packeted Form of Stevia rebaudiana the "Honeyleaf" with Zero Fat, Zero glycemic index, Zero Calories, and No Bitter Aftertaste.
    Omega 3 Fish Oil Mood Aid, EFA Gold, Enteric Coated, 60 Softgels

    Research suggests a correlation between consuming more omega-3 fatty acids from fish and better emotional health. MoodAid provides a convenient way to add an effective amount to your diet.
    Opuntia (Prickly Pear), 250 mg, 100 Caps

    Opuntia prickly pear flowers (Opuntia ficus-indica) were traditionally used as medicine for male urinary discomforts. It was also used externally as an ointment.
    Oxybolin 250, Body Building Supplement, Hi-Tech, 60 Tabs

    Oxybolin 250 Body Building Supplement is the product every athlete or health conscious person has been waiting for! Oxybolin 250 is perfect for anyone who wants to build muscle and/or enhance athletic performance.
    Pancreatic Support Wellness Oil, Nature's Inventory, 2 fl. oz.

    The human pancreas produces pancreatic endocrine hormones (e.g., insulin & glucagon) which help regulate many aspects of our metabolism and produces pancreatic digestive enzymes.
    Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.

    WaterOz Ionic Potassium is a pure liquid Potassium supplement. Potassium aids rheumatic or arthritic conditions and is vital for the elimination of wastes.
    Procaine Ultra GH9 (Ultimate 9), Procaine HCl, 100 mg, 60 Caps

    Procaine Ultra GH9 is the most trusted anti-aging TheraGH9 with its patented PBN will that "ump" back into your cells, catapulting your wellness or sports program to a multi-quantum level.
    Red Panax Ginseng, Ultra Strength, 10 ml vials, 30 Vials

    Red Panax Ginseng is often used to increase energy.
    Red Reishi Mushroom Tincture, 2 fl. oz.

    Herbal Remedies offers the highest quality tinctures avaialable, such as this Reishi Mushroom tincture. Red Reishi is called Ling Zhi and it is believed to be one of the ingredients for youth elixirs.
    Renewal Fitness For Women, HGH Somatropin, 1 fl. oz.

    Thirty uniquely combined, safe and doctor formulated ingredients, the infusion of full spectrum light, gem essences of yellow sapphire, clear quartz and charoite, to help maximize energy, strength, hormonal balance and tone.
    Reversing Diabetes, Revised and Updated, by Julian Whitaker, M.D.

    This bestselling guide will arm you with safer and equally effective ways of treating diabetes through a sensible diet, exercise, and specific nutritional supplement suggestions. You can improve blood sugar control, reduce if not eliminate reliance on medication, decrease risk of complications and diseases associated with diabetes.
    Rhodiola Rosea, Standardized, 3% Rosavins & 1% Salidroside, Vegetarian, Nature's Way, 60 VCaps

    An adaptogen, Rhodiola comes from Arctic regions and has been shown to increase energy, physical endurance and well-being.
    Samento Liquid Extract, Uncaria Tomentosa, 0.5% POA, 1 fl. oz.

    Samento Uncaria Tomentosa is a Cat's Claw herb that may be beneficial in supporting the treatment of a wide range of immune system related conditions. Immune disorders may be the cause for various conditions such as cancer, arthritis, bursitis, rheumatism, allergies, ulcers, systemic candidiasis, all forms of herpes, diabetes, lupus, chronic fatigue syndrome, intestinal disorders and HIV infection.
    Samento Uncaria Tomentosa, Extra Strength, 100 Times More Effective Than Regular Cat's Clw, 0.5% POA, 600 mg, 30 Caps

    Samento is beneficial in supporting the treatment of a wide range of immune system related conditions; these include but are not limited to cancer, arthritis, bursitis, rheumatism, allergies, ulcers, systemic candidiasis, all forms of herpes, diabetes, lupus, chronic fatigue syndrome, intestinal disorders and HIV infection.
    Seabuckthorn Seed Oil, 100% Natural, 500 mg, 60 Softgels

    A rare source of vitamin E, Seabuckthorn Oil also provides other vitamins including Vitamins A, C, D, K, etc, carotenoids, flavonoids, phytosterols, amino acids, serotonin and 28 trace elements: iron, zinc, calcium, magnesium, selenium, iodine, etc.
    Siberian Eleuthero Root, Nature's Way (Eleuthero, Eleutherococcus Senticosus Root), 410 mg, 100 Caps

    Siberian Ginseng Root (Eleutherococcus Senticosus Root) improves physical an mental vitality. It is an adaptogenic herb, which helps the body to adapt to daily stress. It is an ideal supplement for those leading a demanding and hectic lifestyle.
    Simple Diagnostic Tests You Can Do At Home, By Martha M. Christy

    This is an excellent resource that explains in easy-to-follow language simple at-home tests you can perform to learn of your body's nutritional deficiencies or potential for certain illnesses.
    Spirulina, 100% Organic, NOW Foods, 500 mg, 120 VCaps

    Spirulina helps protect the immune system, reduce cholesterol, aid in the absorption of minerals and has been used in the treatment of diabetes, glaucoma, liver pathologies, cancer, increasing neurotransmitter formation, and it acts as an appetite suppressant.
    Spirulina Powder, 100% Natural, Vegetarian, NOW Foods, 1 lb.

    Spirulina helps protect the immune system, reduce cholesterol, aid in the absorption of minerals and has been used in the treatment of diabetes, glaucoma, liver pathologies, cancer, increasing neurotransmitter formation, and it acts as an appetite suppressant.
    Stevia Clear, Apricot Nectar Liquid Tincture, 2 fl. oz.

    They have taken their best selling SteviaClear and added delicious natural flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Clear, Chocolate Raspberry Liquid Tincture, 2 fl. oz.

    They have taken their best selling SteviaClear and added delicious natural flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Clear, English Toffee Liquid Tincture, 2 fl. oz.

    They have taken their best selling SteviaClear and added delicious natural English Toffee flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Clear, Lemon Drop Liquid Tincture, 2 fl. oz.

    They have taken their best selling SteviaClear and added delicious natural lemon flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Clear Sweetleaf Liquid Stevia Tincture, Wisdom Herbs, 4 fl. oz.

    Stevia Clear Liquid Tincture is an excellent diabetic aid which nourishes the pancreas, helping to achieve healthful blood sugar levels.
    Stevia Clear Sweetleaf Liquid Stevia Tincture, 2 fl. oz.

    Stevia Clear Sweetleaf Liquid Stevia Tincture is an excellent diabetic aid which nourishes the pancreas, helping to achieve healthful blood sugar levels.
    Stevia Clear, Vanilla Creme Liquid Tincture, 2 fl. oz.

    They have taken their best selling SteviaClear and added delicious natural flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Clear, Valencia Orange Liquid Tincture, 2 fl. oz.

    They have taken the best selling SteviaClear and added delicious natural flavors to create the world's most amazing and versatile zero calorie, zero carb dietary supplement.
    Stevia Extract Powder, NOW Foods, 100 Packets / Box

    This Stevia Extract Powder is a Packeted Form of Stevia rebaudiana the "Honeyleaf" with Zero Fat, Zero glycemic index, Zero Calories, and No Bitter Aftertaste.
    Stevia Extract, White Powder, 0.9 oz. In Shaker Bottle

    Stevia extract has a delicious and refreshing taste that can be 30 times sweeter than sugar. Stevia is also an excellent diabetic aid which nourishes the pancreas, helping to achieve healthful blood sugar levels.
    Stevia Glycerite, Alcohol Free, NOW Foods, 2 fl. oz.

    Stevia glycerite is intended for dietary supplement purposes only. Stevia Glycerite can be mixed into water and diluted.
    Stevia Liquid Concentrate Tincture, 2 fl. oz.

    Stevia Liquid has a delicious and refreshing taste that can be 30 times sweeter than sugar. Enjoy the flavor that Stevia adds to any food or beverage knowing you will also increase the healthful benefits.
    Stevia Powder, Green, 1/2 lb.

    Enjoy the flavor that Stevia powder adds to any food or beverage knowing you will also increase the healthful benefits.
    Sugar Balancer, TCM Formula, Huafen Yuxiao, 60 Caps

    Chinese medicine uses this time-honored formula to supplement the Qi and Yin and to maintain healthy blood and urine sugar level and healthy functions of the autonomic nerve.
    Sugar Control Herbal Tea, 20 Tea Bags

    For maintaining normal blood sugar and blood fat level, urine sugar level.
    Sutherlandia (Sutherlandia Frutescens), 300 mg, 60 Tabs

    Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors.
    Sydrome X: The Complete Nutritional Program To Prevent & Reverse Insulin Resistance, By J. Challem, B. Berkson, M.D., M. Smith

    This book introduces a three-step program-including easy-to-follow diets, light physical activity and readily available vitamins and nutritional supplements-guaranteed to safeguard you against Syndrome X or reverse it if you already have it.
    The Cure For All Advanced Cancers Book, By Dr. Hulda Regehr Clark

    According to the Author, Cancer Can Now Be Cured, not only the early stages, but also advanced cancer, stages four and five, including imminent death.
    The Cure For All Diseases Book, By Dr. Hulda Regehr Clark

    No diabetes, no high blood pressure, no cancer, no HIV/AIDS, no migraines, no lupus and so on! Not a single disease is left unconquerable with this new understanding!
    The Metabolic Syndrome Program: How To Lose Weight, Beat Heart Disease, Stop Insulin Resistance & More, By Karlene RD Karst

    Big Belly? High Body Mass Index? High Blood Pressure? If this sounds like you, you may be one of the millions of North Americans with Metabolic Syndrome.
    The Rite-Type Diet Plan For Type A - Placemat

    Take the stress off your digestive system by using this guide while shopping, for blood type A.
    Tri Chromium With Cinnamon, NOW Foods, 500 mcg, 90 VCaps

    Chromium is an essential trace mineral that helps the body maintain normal blood sugar levels and preliminary research has found that chromium supplementation also improves glucose tolerance in people with Turner's syndrome disease linked with glucose intolerance.
    Ultra Ginkgo Plus Rhodiola & Eleuthero Endurance Formula, 10 ml Vials, 30 Vials

    Our Ultra Ginkgo Plus Rhodiola & Eleuthero Endurance Formula combines Tibetan Rhodiola and Eleuthero.
    Vanadium Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.

    WaterOz Ionic Vanadium is a pure liquid Vanadium supplement. Vanadium regulates the circulatory system, helps reduce cholesterol levels and buildup in the central nervous system, lowers elevated blood sugar and is believed to help reduce the incidence of heart attack.
    Vitamin E (D-Alpha Tocopheryl Acetate), 100% Natural, NOW Foods, 400 IU, 250 Softgels

    Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage.
    Wolfberry Tincture, Goji Juice Concentrate (Lycium Barbarum), 2 fl. oz.

    Wolfberry (Goji) has healing benefits of nourishing and strengthening the eyes, liver, kidneys and nourishing the blood.
    Yarrow Tincture (Achillea Millefolium), 2 fl. oz.

    Yarrow is well-known for its use as a remedy for cold, flu and fever and also for its skin wound healing and antibiotic properties.
    Yohimbe Powder (Corynanthe Yohimbe), 4 oz. Bulk

    Orally, yohimbe is used as an aphrodisiac, for impotence, exhaustion and even angina. Yohimbe is also used for general sexual dysfunction in men and women.
    Yohimbe Tincture, 100% Organic, 2 fl. oz.

    Yohimbe is often used for impotence and sexual dysfunction. Yohimbe can also be used for High blood pressure, Arteriosclerosis, Angina pectoris, and as a local anesthetic.
    Zinc Lozenges w/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges

    Nature's Way Zinc lozenge boosts cold season defense with zinc, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance.





  • Herbal Remedies: Diabetes Information


  • Herbal Remedies: Diabetes Supplements & Products


  • Diabetes Treatment Books - Books about Diabetes, Diabetics & Insulin Resistance and their treatment.




  • NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...

  • You or a family member has diabetes mellitus and wants to become pregnant or is pregnant.


  • The following occur during treatment call 9-1-1 immediately:
    • Inability to think clearly.
    • Weakness.
    • Excessive sweating.
    • Paleness.
    • Rapid heartbeat.
    • Seizures.
    • Loses consciousness or becomes unconscious. A coma may indicate hypoglycemia.
    • Fruity odor on the breath.
    • Changes in breathing pattern.
    • Stupor (may indicate ketoacidosis).
    • Several days of illness or weakness.
    • Numbness.
    • Tingling or pain in the hands and feet.
    • Chest pain.

  • Has a low blood sugar level (less than 50 mg/dL), symptoms of low blood sugar (see above) and does not wake up after being given sugar.

  • Is becoming increasingly sleepy and has a blood sugar level of less than 60 mg/dL after following steps for dealing with low blood sugar.

    Call your health care provider or midwife if you have gestational diabetes and:
    • You notice a change in the pattern of or stop having fetal movements.
    • Your blood sugar level is below 55 mg/dL and you have not talked with your health care provider or midwife about how to deal with low blood sugar levels.
    • Your blood sugar level does not rise above 60 mg/dL after following the steps for dealing with low blood sugar.
    • Your blood sugar level is above normal and you have not talked with your health care provider or midwife about how to deal with high blood sugar.
    • You are taking insulin and your blood sugar level stays high after taking a missed dose of insulin or taking an extra dose of insulin (if prescribed by your health care provider).
    • You have problems with high or low blood sugar levels. If you are taking insulin, you may need to change how much you are taking.
    • You are sick for more than 2 days (unless it is a mild illness, such as a cold) and you:
      • Have been throwing up or have had diarrhea for more than 6 hours.
      • Think your symptoms, such as feeling very thirsty and weak, are being caused by high blood sugar.
      • Have tried the home treatments suggested by your health care provider or midwife, and they have not worked.
      • Have blood sugar levels consistently above 180 mg/dL.





    FOR FURTHER INFORMATION ABOUT DIABETES

    For more information on diabetes and its potential complications, contact the following organizations:
      American Diabetes Association
      1701 North Beauregard Street
      Alexandria, VA 22311
      1-800-DIABETES
      1-800-342-2383
      Website: www.diabetes.org
      Ask about state and local chapters.

      American Heart Association
      7272 Greenville Avenue
      Dallas, TX 75231
      1-800-AHA-USA1
      1-800-242-8721
      Website: www.americanheart.org
      Ask about state and local chapters.

      International Diabetes Center
      3800 Park Nicollet Boulevard
      Minneapolis, Minnesota 55416-2699
      1-888-825-6315
      1-952-993-3393
      1-952-993-1302 (fax)
      Website: www.parknicollet.com/diabetes/index.html

      Joslin Diabetes Center
      One Joslin Place
      Boston, MA 02215
      1-617-732-2400
      Website: www.joslin.harvard.edu

      Juvenile Diabetes Research Foundation International (JDRF)
      120 Wall Street
      New York, NY 10005-4001
      1-800-533-CURE
      1-800-533-2873
      1-212-785-9595 (fax)
      Website: www.jdrf.org

      National Diabetes Information Clearinghouse (NDIC) 1 Information Way
      Bethesda, MD 20882-3560
      1-800-860-8747
      1-301-654-3327
      1-301-907-8906 (fax)
      Website: www.niddk.nih.gov/health/diabetes/ndic.htm

      National Eye Institute (NEI)
      National Institutes of Health
      2020 Vision Place
      Bethesda, MD 20892-3655
      1-301-496-5248
      Website: www.nei.nih.gov

      National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
      Building 31, Room 9A04
      31 Center Drive, MSC 2560
      Bethesda, MD 20892-2560
      1-301-496-3583
      Website: www.niddk.nih.gov





    HELPFUL ONLINE LINKS

  • CDC Diabetes Public Health Resource

  • WebMD Diabetes Health Center

  • Space Crystals Provide Hope For Diabetes

  • Diabetes Online
  • GlaxoSmithKline: Diabetes Info, Diet and Recipes
  • Children With Diabetes Online Community
  • Lab Tests Online: Diabetes





  • MOONDRAGON'S RELATED LINKS

    MoonDragon's Health & Wellness: Diabetes

    MoonDragon's Birth Guidelines: Glycosuria - Gestational Diabetes

    MoonDragon's ObGyn Information: Pregnancy & Diabetes (Pre-gestational)

    MoonDragon's Pregnancy Information: Gestational Diabetes

    MoonDragon's Nutrition Information: Hypoglycemic Diet

    MoonDragon's Nutrition Information: Gestational Diabetes Diet

    MoonDragon's Health & Wellness: Hypoglycemia

    MoonDragon's ObGyn Information: Diabetic Retinopathy

    MoonDragon's Nutrition Information: Weight Control Diet

    MoonDragon's Nutrition Information: Weight Loss Diet

    MoonDragon's Health & Wellness: Leg Ulcers

    MoonDragon's Health & Wellness: Bed Sores

    MoonDragon's Health & Wellness: Bed Sores Guidelines

    MoonDragon's Health Therapy: Pain Control





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    HELPFUL PRODUCTS & FURTHER EDUCATION

  • Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
    -- by Phyllis A. Balch, James F. Balch - 2nd Edition

  • Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
    -- by Phyllis A. Balch, James F. Balch - 4th Edition

  • Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
    -- by Phyllis A. Balch

  • The Complete Guide to Natural Healing



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